CAROLYN S. MANSON MD
NPI 1205900529
Psychiatry & Neurology - Child & Adolescent Psychiatry in Antioch, CA

Active since November 20, 2006
3400 DELTA FAIR BLVD, ANTIOCH, CA 94509(925) 779-5000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carolyn S. Manson Md NPPES

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

CAROLYN S. MANSON MD (NPI 1205900529) is an individual child & adolescent psychiatry provider in Antioch, California, licensed in California (G52535) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1205900529
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameCAROLYN S. MANSONCredential: MD
Location Address3400 DELTA FAIR BLVDAntioch, CA 94509-4004
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3429 · (510) 625-6262
Sole ProprietorNo
Enumeration DateNovember 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1205900529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in CA · G52535
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

3400 DELTA FAIR BLVD, Antioch, CA 94509

Other Identifiers 3

Medicare ID-Type Unspecified00G525350
Medicaid00G525350CA
Medicare UPINA52288

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Pediatrics
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Internal Medicine
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Preventive Medicine (Occupational Medicine)
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Preventive Medicine (Occupational Medicine)
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Pediatrics
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Pediatrics
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Pediatrics (Adolescent Medicine)
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205900529, enumerated as an "individual" on November 20, 2006.

The provider is located at 3400 DELTA FAIR BLVD ANTIOCH, CA 94509 and the phone number is (925) 779-5000.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.