Mandala Psychological Services, P.C.

LBN: Mandala Psychological Services, P.C.
Mandala Psychological Services, P.C. is an health care organization with primary practice located at 2785 W 5Th St Apt 10E , Brooklyn NY 11224-4612. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Mandala Psychological Services, P.C. can be contacted via phone (646) 415-1915, or through Razdolskaya, Yelena via phone (646) 415-1915.

Contact Information

Primary practice address
2785 W 5Th St Apt 10E Brooklyn NY 11224-4612
Phone: (646) 415-1915
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Razdolskaya, Yelena PSY.D
Phone: (646) 415-1915

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 016210 New York

Profile Details

NPI number 1922164383
LBN Legal business name Mandala Psychological Services, P.C.
DBA Doing business as
Authorized official Razdolskaya, Yelena PSY.D
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922164383 NPPES
New York MEDICAID 02821658

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