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DR. DOROTHY MARIE MANDEL PSYCHOLOGY LICENSE NPI 1679882880


NPI Information

NPI: 1679882880
Provider Name: DR. DOROTHY MARIE MANDEL, PSYCHOLOGY LICENSE
Classification: Psychologist - 103TA0700X
Entity Type: Individual

Specialization: Adult Development & Aging

PECOS Registration: Yes

Address:
1144 SONOMA AVE
STE 117
SANTA ROSA, CA
ZIP 95405
Phone: (707) 322-3222
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DR. Dorothy Marie Mandel, PSYCHOLOGY LICENSE is an adult development and aging psychologist in Santa Rosa, CA with 17 years of experience. The provider is a psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care. DR. Dorothy Marie Mandel, PSYCHOLOGY LICENSE NPI is 1679882880. 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:

1144 SONOMA AVE
STE 117
SANTA ROSA, CA
ZIP 95405-812
Phone: (707) 322-3222
Fax: (707) 526-1913

The NPI 1679882880 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 60 minutes with patient and/or family member (HCPCS:90837)
  • Psychiatric diagnostic evaluation (HCPCS:90791)

The enumeration date for this NPI number is 10/5/2010 and was last updated on 2/20/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0400XPsychologistAddiction (Substance Use Disorder)PSY23697CALIFORNIANo
2103TB0200XPsychologistCognitive & BehavioralPSY23697CALIFORNIANo
3103TC0700XPsychologistClinicalPSY23697CALIFORNIANo
4103TC1900XPsychologistCounselingPSY23697CALIFORNIANo
5103TC2200XPsychologistClinical Child & AdolescentPSY23697CALIFORNIANo
6103TF0000XPsychologistFamilyPSY23697CALIFORNIANo
7103TH0004XPsychologistHealthPSY23697CALIFORNIANo
8103TM1800XPsychologistIntellectual and Developmental DisabilitiesPSY23697CALIFORNIANo
9103TA0700XPsychologistAdult Development & AgingPSY23697CALIFORNIAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.