Active NPIIndividual providerSole proprietor

Dr. Perry N Mandanis, MD

Psychiatry & Neurology, Child & Adolescent Psychiatry in Hampton, Connecticut

NPI Number1104043249
Practice location
189 N Bigelow RD, Hampton, CT 06247-1408
Fax
—
Last updated
November 14, 2012

Perry Nicholas Mandanis is a Psychiatry & Neurology, Child & Adolescent Psychiatry based in Hampton, CT. Perry Nicholas Mandanis practices in Hampton, CT and has the professional credentials of MD. The NPI Number for Perry Nicholas Mandanis is 1104043249 and holds a License No. 042739 (CT). The current practice location address for Perry Nicholas Mandanis is 189 N Bigelow RD, Hampton, CT 06247-1408 and can be reached out via phone at 860-455-1119.

Provider Profile Details

NPI Number
1104043249
Provider Name
Perry Nicholas Mandanis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
189 N Bigelow RD, Hampton, CT 06247-1408
Phone Number
860-455-1119
Sole Proprietor
Yes
Provider Enumeration Date
April 19, 2007
Last Update Date
November 14, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
189 N Bigelow RD
Hampton, CT 06247-1408
Zip
06247-1408
Phone Number
860-455-1119
Hampton, CT 06247Get directions →

Provider Business Mailing Address Details

Address
189 N Bigelow RD
Hampton, CT 06247-1408
City
Hampton
State
CT
Zip
06247-1408
Phone Number
860-455-1119

License Information

License Number
042739
License State
CT

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Perry N Mandanis, MD?

The NPI number of Dr. Perry N Mandanis, MD is 1104043249. It was assigned on April 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Perry N Mandanis, MD?

Dr. Perry N Mandanis, MD is registered under the primary taxonomy Psychiatry & Neurology, Child & Adolescent Psychiatry (code 2084P0804X), licensed in CT under license number 042739.

Where does Dr. Perry N Mandanis, MD practice?

The practice location is 189 N Bigelow RD, Hampton, CT 06247-1408. The office can be reached at 860-455-1119 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104043249 directly on the NPPES registry website.

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