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

Q: What is Carolyn Manson's NPI number?

The NPI number for Carolyn Manson is 1205900529. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Q: What is Carolyn Manson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Manson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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.

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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

Phone(925) 779-5000

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

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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.

BARBARA A RHOADES FNP

Nurse Practitioner (Family)