Active NPIIndividual provider

Dr. Marisa Mendel, MD

Psychiatry & Neurology, Child & Adolescent Psychiatry in Newton Centre, Massachusetts

NPI Number1184913154
Practice location
199 Wells Ave Ste 102, Newton Centre, MA 02459-3320
Fax
412-753-7640
Last updated
December 12, 2024

Marisa Mendel is a Psychiatry & Neurology, Child & Adolescent Psychiatry based in Newton Centre, MA. Marisa Mendel practices in Newton Centre, MA and has the professional credentials of MD. The NPI Number for Marisa Mendel is 1184913154 and holds a License No. 330764 (NY). The current practice location address for Marisa Mendel is 199 Wells Ave Ste 102, Newton Centre, MA 02459-3320 and can be reached out via phone at 781-472-1477 and via fax at 412-753-7640.

Provider Profile Details

NPI Number
1184913154
Provider Name
Marisa Mendel
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
199 Wells Ave Ste 102, Newton Centre, MA 02459-3320
Phone Number
781-472-1477
Fax Number
412-753-7640
Sole Proprietor
No
Provider Enumeration Date
March 30, 2011
Last Update Date
December 12, 2024
Certification Date
December 12, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
199 Wells Ave Ste 102
Newton Centre, MA 02459-3320
Zip
02459-3320
Phone Number
781-472-1477
Fax Number
412-753-7640
Newton Centre, MA 02459Get directions →

Provider Business Mailing Address Details

Address
199 Wells Ave Ste 102
Newton Centre, MA 02459-3320
City
Newton Centre
State
MA
Zip
02459-3320
Phone Number
781-472-1477
Fax Number
412-753-7640

License Information

License Number (1)
330764
License State (1)
NY
Taxonomy (1)
Psychiatry & Neurology, Psychiatry · 2084P0800X
License Number (2)
258996
License State (2)
MA
Taxonomy (2)
Psychiatry & Neurology, Psychiatry · 2084P0800X
License Number (3)
330764
License State (3)
NY
License Number (4)
258996
License State (4)
MA
Taxonomy (4)
Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X · Primary

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. Marisa Mendel, MD?

The NPI number of Dr. Marisa Mendel, MD is 1184913154. It was assigned on March 30, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Marisa Mendel, MD?

Dr. Marisa Mendel, MD is registered under the primary taxonomy Psychiatry & Neurology, Child & Adolescent Psychiatry (code 2084P0804X), licensed in NY under license number 330764.

Where does Dr. Marisa Mendel, MD practice?

The practice location is 199 Wells Ave Ste 102, Newton Centre, MA 02459-3320. The office can be reached at 781-472-1477 (phone) or 412-753-7640 (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 1184913154 directly on the NPPES registry website.

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