DR. STEPHANIE ANN CHIN MAMMEN PSY.D.
NPI 1184851974
Psychologist - Clinical in Anaheim, CA

Q: What is Stephanie Chin Mammen's NPI number?

The NPI number for Stephanie Chin Mammen is 1184851974. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Q: What is Stephanie Chin Mammen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since June 18, 2009PECOS Enrolled

2400 E KATELLA AVE, SUITE 450, ANAHEIM, CA 92806(657) 224-9681 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Stephanie Ann Chin Mammen Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHANIE ANN CHIN MAMMEN PSY.D. (NPI 1184851974) is an individual clinical provider in Anaheim, California, licensed in California (26085) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184851974

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. STEPHANIE ANN CHIN MAMMENCredential: PSY.D.

Location Address2400 E KATELLA AVE, SUITE 450Anaheim, CA 92806-5945

Mailing Address2400 E Katella Ave, Suite 450Anaheim, CA 92806-5945 · (657) 224-9681

Phone(657) 224-9681

Sole ProprietorNo

Enumeration DateJune 18, 2009

Last NPPES UpdateNovember 29, 2021

✔ NPI 1184851974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 26085

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2400 E KATELLA AVE, Anaheim, CA 92806

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephanie Ann Chin Mammen Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Chin Mammen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

5.1 mi

Health Maintenance Organization

441 N LAKEVIEW AVE
Anaheim, CA 92807

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1952333460 (714) 279-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92806 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SELECT PHYSICAL THERAPY HOLDINGS INC

Clinic/Center (Physical Therapy)

2400 E KATELLA AVE, STE 400
ANAHEIM, CA 92806

Orange County (714) 712-9222

NATALIE J MCNALLY

Physical Therapist

2400 E KATELLA AVE
ANAHEIM, CA 92806

Orange County (714) 712-9222

TED DAVIS LEE

Occupational Therapist

2400 E KATELLA AVE, SUITE 405, BUILDING 8
ANAHEIM, CA 92806

Orange County (714) 712-9922

LUDYVINA HERNANDEZ DOCTORAL CANDIDATE

Student in an Organized Health Care Education/Training Program

2400 E KATELLA AVE
ANAHEIM, CA 92806

Orange County (714) 922-9600

JULIEANN TSAI OTR/L

Occupational Therapist

2400 E KATELLA AVE, SUITE 405
ANAHEIM, CA 92806

Orange County (714) 712-9222

DR. ALEXIS AVILA PH.D

Psychologist (Clinical)

2400 E KATELLA AVE, SUITE 800
ANAHEIM, CA 92806

Orange County (714) 460-2777

CEDARS-SINAI MEDICAL CARE FOUNDATION

Specialist

2400 E KATELLA AVE
ANAHEIM, CA 92806

Orange County (714) 937-1338

DAVID CLARK HAY M.D.

Orthopaedic Surgery (Hand Surgery)

2400 E KATELLA AVE, 400
ANAHEIM, CA 92806

Orange County (714) 450-4514

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Chin Mammen's NPI number?

The NPI number for Stephanie Chin Mammen is 1184851974. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Where is Stephanie Chin Mammen located?

Stephanie Chin Mammen practices at 2400 E Katella Ave Suite 450, Anaheim, CA 92806. The listed phone number is (657) 224-9681.

What is Stephanie Chin Mammen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Stephanie Chin Mammen enrolled in Medicare?

Yes. Stephanie Chin Mammen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stephanie Chin Mammen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Chin Mammen reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Chin Mammen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stephanie Chin Mammen was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.