DR. TODD WIZANSKY MANDELL (NPI# 1952425092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952425092 |
| Entity Type | Individual |
| Full Name | DR. TODD WIZANSKY MANDELL |
| Credential | M.D. |
| Practice Address |
164 High St Greenfield MA 01301-2613 |
| Mailing Address |
1103 Packer Corners Rd Guilford VT 05301-8229 |
| Practice Telephone | 4137732595 |
| Mailing Telephone | 8022510089 |
| Mailing Fax Number | 8022516070 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
57048 | MA | Allopathic & Osteopathic Physicians |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
042-0007964 | VT | Allopathic & Osteopathic Physicians |
| Street Address |
164 HIGH ST |
| City | GREENFIELD |
| State | MA |
| Zip Code | 01301-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508867391 | Baystate Franklin Medical Center | General Acute Care Hospital | 164 High St, Greenfield, MA 01301-2613 | 2005-08-03 |
| 1659995926 | Aslynn Joyce Romano | Registered Nurse | 164 High St, Greenfield, MA 01301-2613 | 2020-06-03 |
| 1730714015 | Jeanette L. Christian | Registered Nurse | 164 High St, Greenfield, MA 01301-2613 | 2020-03-07 |
| 1659866853 | Lisa Styles | Social Worker | 164 High St, Greenfield, MA 01301-2613 | 2018-06-29 |
| 1659887479 | Marla R. Killough | Social Worker | 164 High St, Greenfield, MA 01301-2613 | 2017-12-15 |
| 1508316365 | Community Health Center of Franklin County | Clinic/Center | 164 High St, Greenfield, MA 01301-2613 | 2016-10-05 |
| 1912356668 | Alyssa N Bobe | Physician Assistant | 164 High St, Greenfield, MA 01301-2613 | 2016-06-03 |
| 1841674595 | Katelyn Barbiasz | Physician Assistant | 164 High St, Greenfield, MA 01301-2613 | 2015-07-13 |
| 1396131538 | Dean W. Singer | Family Medicine | 164 High St, Greenfield, MA 01301-2613 | 2015-04-14 |
| 1194133629 | Ahmed A Niloy | Internal Medicine | 164 High St, Greenfield, MA 01301-2613 | 2014-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467076786 | Amber Marie Ortiz | Social Worker | 265 Federal Street, Apartment #3, Greenfield, MA 01301 | 2020-06-02 |
| 1215405238 | Laurel Crommett | Social Worker | 79 Silver St, Greenfield, MA 01301 | 2018-11-07 |
| 1477071090 | Hannah Margaret Pachalis | Dental Hygienist | 55 Federal St Ste240, Greenfield, MA 01301 | 2017-09-04 |
| 1457890964 | Caitlin Susanne Reed | Counselor | One Arch Place Second Floor, Center for Community Resilience After Trauma, Greenfield, MA 01301 | 2017-02-16 |
| 1548717036 | Merl Gray | Counselor | 1 Arch Street, #1, Greenfield, MA 01301 | 2016-09-01 |
| 1154877710 | Clinical & Support Oprtions | Respite Care | 1 Arch Street #1, Greenfield, MA 01301 | 2016-09-01 |
| 1104299668 | Karli Sacco | Occupational Therapist | 130 Colrain Road, Greenfield, MA 01301 | 2015-11-05 |
| 1750759239 | Richard H. Orton | Counselor | 28 High St., Green Valley Counseling, Greenfield, MA 01301 | 2015-09-14 |
| 1609265768 | Kelly Broadway | Counselor | One Arch Place, 2nd Floor, Greenfield, MA 01301 | 2015-01-13 |
| 1184061327 | David Mancuso | Social Worker | 131 French King Highway, Work, Greenfield, MA 01301 | 2013-05-29 |
| Find all providers in zip 01301 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245856335 | Mcat LLC | Psychiatry & Neurology | 3 Brighton St, Belmont, MA 02478-4007 | 2020-06-24 |
| 1427673136 | Ronald Bugaoan Md LLC | Psychiatry & Neurology | 225 Water St Ste A140, Plymouth, MA 02360-6248 | 2020-06-09 |
| 1861806192 | Qaiser Shamshir Khan | Psychiatry & Neurology | 55 Lake Ave N # S7-831, Worcester, MA 01655 | 2014-06-14 |
| 1083894059 | Juan R Condemarin | Psychiatry & Neurology | 129 Bigelow St, Brighton, MA 02135-1639 | 2007-11-07 |
| 1548454671 | Alfredo R Chan Md PC | Psychiatry & Neurology | 105 Webster St Ste 6, Hanover, MA 02339-1227 | 2007-08-31 |
| 1669666947 | John Dmochowski, Md PC | Psychiatry & Neurology | 31 Meltiah Rd, Falmouth, MA 02540-1843 | 2007-08-30 |
| 1093876609 | Robert Long Kelley | Psychiatry & Neurology | 20 Hope Ave Suite 201, Waltham, MA 20453 | 2006-12-13 |
| 1306896527 | Ethan Samuel Rofman | Psychiatry & Neurology | 123 Grant Ave, Newton Centre, MA 02459-1350 | 2006-05-10 |
| 1497734768 | Laurence Evans Ducomb | Psychiatry & Neurology | 49 Robinwood Ave, The Arbour Hospital, Jamaica Plain, MA 02130 | 2006-01-13 |
| 1033103247 | Kenneth Minkoff | Psychiatry & Neurology | 100 Powdermill Rd # 319, Acton, MA 01720-5932 | 2005-09-02 |
| Find all providers with the same taxonomy | ||||
| City | GREENFIELD |
| Zip Code | 01301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.