Michael R. Mantell, Ph. D., Inc

LBN: Michael R. Mantell, Ph. D., Inc
Michael R. Mantell, Ph. D., Inc is an health care organization with primary practice located at 5565 Grossmont Center Dr Bldg. 1- 223, La Mesa CA 91942-3020. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Michael R. Mantell, Ph. D., Inc can be contacted via phone (619) 644-1111, or through Mantell, Michael R. via phone (619) 644-1111.

Contact Information

Primary practice address
5565 Grossmont Center Dr Bldg. 1- 223 La Mesa CA 91942-3020
Phone: (619) 644-1111
Fax: (619) 644-1115
Website:
Map and Directions
Authorized official contact:
Name: Mantell, Michael R. PH.D.
Phone: (619) 644-1111

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY5020 California

Profile Details

NPI number 1457657652
LBN Legal business name Michael R. Mantell, Ph. D., Inc
DBA Doing business as
Authorized official Mantell, Michael R. PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2011
Last updated Feb 8th, 2011 - about 14 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 1457657652 NPPES
California Other 2436992 AETNA

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