DR. MANDI FAYE DEITZ PH.D.
NPI 1265625503
Psychologist - Clinical in Newport, TN

Q: What is Mandi Deitz's NPI number?

The NPI number for Mandi Deitz is 1265625503. It was assigned to this individual provider in the NPPES registry on August 21, 2007.

Q: What is Mandi Deitz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mandi Deitz was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 August 21, 2007

215 HEDRICK DRIVE, NEWPORT, TN 37821(423) 623-5301(423) 625-0808 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mandi Faye Deitz Ph.d. NPPES

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

DR. MANDI FAYE DEITZ PH.D. (NPI 1265625503) is an individual clinical provider in Newport, Tennessee, licensed in Idaho (PSY-202959) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1265625503

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MANDI FAYE DEITZCredential: PH.D.

Location Address215 HEDRICK DRIVENewport, TN 37821

Mailing AddressPo Box 4000Mountain Home, TN 37684-4000 · (423) 926-1171

Phone(423) 623-5301

Fax(423) 625-0808

Sole ProprietorNo

Enumeration DateAugust 21, 2007

Last NPPES UpdateMay 23, 2018

✔ NPI 1265625503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in ID · PSY-202959

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.

215 HEDRICK DRIVE, Newport, TN 37821

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Other Providers at the Same Location NPPES 8

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

EVELYN S ALLEN

Case Manager/Care Coordinator