DR. LYN J. MANGIAMELI PH.D. NPI 1134487333

NPI Information

NPI: 1134487333
Provider Name: DR. LYN J. MANGIAMELI, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
320 S 3RD ST
SUITE 201
SAN JOSE, CA
ZIP 95112
Phone: (415) 999-6793
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DR. Lyn J. Mangiameli, PH.D. is a clinical neuropsychologist in San Jose, CA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Lyn J. Mangiameli, PH.D. NPI is 1134487333. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

320 S 3RD ST
SUITE 201
SAN JOSE, CA
ZIP 95112-648
Phone: (415) 999-6793
Fax: (408) 736-1272

The enumeration date for this NPI number is 4/25/2012 and was last updated on 7/19/2012.

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	103TC0700X	Psychologist	Clinical	PSY 25076	CALIFORNIA	No
2	103TF0200X	Psychologist	Forensic	PSY 25076	CALIFORNIA	No
3	103TR0400X	Psychologist	Rehabilitation	PSY 25076	CALIFORNIA	No
4	103G00000X	Clinical Neuropsychologist		PSY 25076	CALIFORNIA	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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