NPI 1669408696 · live from the CMS NPI Registry
David E Mandelbaum, MD, PhD
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in New Haven, CT. National Provider Identifier 1669408696, active.
NPI record
| NPI | 1669408696 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology 2084N0402X |
| Practice location | 1 Park St, New Haven, CT 06504 |
| Practice phone | 203-785-4081 |
| Mailing address | 237 Irving Ave, Providence, RI 02906 |
| Enumerated | June 23, 2006 |
| Last updated | March 11, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | 151239 (NY) |
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | 2084N0402X | 151239 (NY) |
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | 2084N0402X | MD11065 (RI) |
| 2084N0600X | MD11065 (RI) | |
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | 2084N0402X | 64335 (CT) |
| 2084N0600X | 151239 (NY) | |
| Psychiatry & Neurology, Neurodevelopmental Disabilities | 2084P0005X | MD11065 (RI) |
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology primary | 2084N0402X | 70147 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.