Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. MANDY KAY DURHAM-VASSALLO D.C.
NPI 1528008240
Chiropractor in Watertown, NY

Active since June 08, 2006
24304 NYS RTE 37, WATERTOWN, NY 13601(315) 785-9588(315) 786-3099 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mandy Kay Durham-vassallo D.c. NPPES

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

DR. MANDY KAY DURHAM-VASSALLO D.C. (NPI 1528008240) is an individual chiropractor in Watertown, New York, licensed in New York (X010290) and active in the NPI registry since June 2006. She is a graduate of New York Chiropractic College (2001).

NPPES Registry Identity

NPI1528008240
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. MANDY KAY DURHAM-VASSALLOCredential: D.C.
Location Address24304 NYS RTE 37Watertown, NY 13601-5870
Mailing Address24304 Nys Rte 37Watertown, NY 13601-5870 · (315) 785-9588 · Fax (315) 786-3099
Fax(315) 786-3099
Sole ProprietorNo
Medical School CMSNew York Chiropractic CollegeGraduated 2001
Enumeration DateJune 8, 2006
Last NPPES UpdateJuly 13, 2026
NPPES CertifiedMay 21, 2024
NPI 1528008240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NY · X010290
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

24304 NYS RTE 37, Watertown, NY 13601

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Mandy Kay Durham-vassallo D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739363607
PECOS Enrollment IDI20110418000829

Other Providers at the Same Location NPPES 4

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

Chiropractor
24304 NYS RTE 37
WATERTOWN, NY 13601
Chiropractor
24304 NYS RTE 37
WATERTOWN, NY 13601
Chiropractor
24304 NYS RTE 37
WATERTOWN, NY 13601
Massage Therapist
24304 NYS RTE 37
WATERTOWN, NY 13601

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 Mandy Durham-vassallo's NPI number?

The NPI number for Mandy Durham-vassallo is 1528008240. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Mandy Durham-vassallo located?

Mandy Durham-vassallo practices at 24304 Nys Rte 37, Watertown, NY 13601. The listed phone number is (315) 785-9588.

What is Mandy Durham-vassallo's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Mandy Durham-vassallo enrolled in Medicare?

Yes. Mandy Durham-vassallo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mandy Durham-vassallo was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.