DR. JESSICA L. MANTIA PH.D. NPI 1467852368

NPI Information

NPI: 1467852368
Provider Name: DR. JESSICA L. MANTIA, PH.D.
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
4150 CLEMENT ST # 116F
SAN FRANCISCO, CA
ZIP 94121
Phone: (415) 221-4810
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DR. Jessica L. Mantia, PH.D. is a counselor in San Francisco, CA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. DR. Jessica L. Mantia, PH.D. NPI is 1467852368. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4150 CLEMENT ST # 116F
SAN FRANCISCO, CA
ZIP 94121-563
Phone: (415) 221-4810

The enumeration date for this NPI number is 8/27/2014 and was last updated on 3/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103T00000X	Psychologist		33193	CALIFORNIA	No
2	103TB0200X	Psychologist	Cognitive & Behavioral			No
3	103T00000X	Psychologist				No
4	103TB0200X	Psychologist	Cognitive & Behavioral	33193	CALIFORNIA	No
5	103TC0700X	Psychologist	Clinical	33193	CALIFORNIA	No
6	103TC1900X	Psychologist	Counseling			No
7	103TC1900X	Psychologist	Counseling	33193	CALIFORNIA	No
8	101Y00000X	Counselor				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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