James Mandala, PHD
Psychologist in Newark, New Jersey
1164750683- Practice location
- New Jersey Institute Of Technology, Drew University Counseling And Psychological Services, Newark, NJ 07940-1434
- Phone
- 973-596-3415
- Fax
- 973-408-3750
- Last updated
- May 20, 2021
James Mandala is a Psychologist based in Newark, NJ. James Mandala practices in Newark, NJ and has the professional credentials of PHD. The NPI Number for James Mandala is 1164750683 and holds a License No. 35SI00275000 (NJ). The current practice location address for James Mandala is New Jersey Institute Of Technology, Drew University Counseling And Psychological Services, Newark, NJ 07940-1434 and can be reached out via phone at 973-596-3415 and via fax at 973-408-3750.
Provider Profile Details
- NPI Number
- 1164750683
- Provider Name
- James Mandala
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- New Jersey Institute Of Technology, Drew University Counseling And Psychological Services, Newark, NJ 07940-1434
- Phone Number
- 973-596-3415
- Fax Number
- 973-408-3750
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 20, 2009
- Last Update Date
- May 20, 2021
- Certification Date
- May 2, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- New Jersey Institute Of Technology
Drew University Counseling And Psychological Services
Newark, NJ 07940-1434 - City
- Newark
- State
- New Jersey
- Zip
- 07940-1434
- Phone Number
- 973-596-3415
- Fax Number
- 973-408-3750
Provider Business Mailing Address Details
- Address
- Campbell Hall 205
New Jersey Institute Of Technology
Newark, NJ 07102 - City
- Newark
- State
- NJ
- Zip
- 07102
- Phone Number
- 973-596-3415
License Information
- License Number (1)
- 35SI00275000
- License State (1)
- NJ
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X
- License Number (2)
- 35SI00275000
- License State (2)
- NJ
- Taxonomy (2)
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 James Mandala, PHD?
The NPI number of James Mandala, PHD is 1164750683. It was assigned on November 20, 2009 and is currently active in the NPPES registry.
What is the specialty of James Mandala, PHD?
James Mandala, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NJ under license number 35SI00275000.
Where does James Mandala, PHD practice?
The practice location is New Jersey Institute Of Technology, Drew University Counseling And Psychological Services, Newark, NJ 07940-1434. The office can be reached at 973-596-3415 (phone) or 973-408-3750 (fax).
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 1164750683 directly on the NPPES registry website.