CHARLES S. MANSUETO PH.D.
NPI 1245449883
Psychologist - Cognitive & Behavioral in Silver Spring, MD

Q: What is Charles Mansueto's NPI number?

The NPI number for Charles Mansueto is 1245449883. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Q: What is Charles Mansueto's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Q: Is Charles Mansueto enrolled in Medicare?

No. Charles Mansueto has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Charles Mansueto was last updated on January 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since May 21, 2007Opted out of Medicare · through Jul 1, 2027

11227 LOCKWOOD DR, SILVER SPRING, MD 20901(301) 593-4040(301) 593-9148 Get Directions Write a Review

NPPES record last updated: January 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Charles S. Mansueto Ph.d. NPPES

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

CHARLES S. MANSUETO PH.D. (NPI 1245449883) is an individual cognitive & behavioral provider in Silver Spring, Maryland, licensed in Maryland (00910) and active in the NPI registry since May 2007. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245449883

Entity TypeIndividualMale

Primary Taxonomy103TB0200X

Provider Legal NameCHARLES S. MANSUETOCredential: PH.D.

Location Address11227 LOCKWOOD DRSilver Spring, MD 20901-4562

Mailing Address1809 Kimberly RdSilver Spring, MD 20903-1218 · Fax (301) 593-9148

Phone(301) 593-4040

Fax(301) 593-9148

Sole ProprietorNo

Enumeration DateMay 21, 2007

Last NPPES UpdateJanuary 4, 2010

✔ NPI 1245449883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers

Taxonomy Code103TB0200X

License✔ Licensed in MD · 00910

Definition

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

11227 LOCKWOOD DR, Silver Spring, MD 20901

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Charles S. Mansueto Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2013 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2013

Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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Other Providers at the Same Location NPPES 13

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

MS. SHERRIE MANSFIELD VAVRICHEK LCSW-C

Social Worker (Clinical)