JESSICA EDEN MANDELL PHD
NPI 1376289629
Psychologist in Charlotte, NC
About Jessica Eden Mandell Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA EDEN MANDELL PHD (NPI 1376289629) is an individual psychologist in Charlotte, North Carolina, licensed in North Carolina (6743) and active in the NPI registry since May 2022. She has opted out of Medicare through February 18, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jessica Eden Mandell Phd 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 February 18, 2025 through February 18, 2027.
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.
CHARLOTTE, NC 28209
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 Jessica Mandell's NPI number?
The NPI number for Jessica Mandell is 1376289629. It was assigned to this individual provider in the NPPES registry on May 10, 2022.
Where is Jessica Mandell located?
Jessica Mandell practices at 1515 Mockingbird Ln Ste 580, Charlotte, NC 28209. The listed phone number is (704) 910-8381.
What is Jessica Mandell's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Jessica Mandell enrolled in Medicare?
No. Jessica Mandell has opted out of Medicare through February 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Jessica Mandell was last updated on April 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.