PAUL JOSEPH MANCILLAS PHD
NPI 1689769622
Clinical Neuropsychologist in Covina, CA

Q: What is Paul Mancillas's NPI number?

The NPI number for Paul Mancillas is 1689769622. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Paul Mancillas's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Mancillas was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 October 04, 2006PECOS EnrolledAccepts Medicare Assignment

100 S. CITRUS AVE, STE 206, COVINA, CA 91723(626) 331-6999(626) 331-8551 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Paul Joseph Mancillas Phd NPPES

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

PAUL JOSEPH MANCILLAS PHD (NPI 1689769622) is an individual clinical neuropsychologist in Covina, California, licensed in California (PSY10364) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1689769622

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NamePAUL JOSEPH MANCILLASCredential: PHD

Location Address100 S. CITRUS AVE, STE 206Covina, CA 91723

Mailing Address330 S. La Serena Dr.West Covina, CA 91791 · (626) 339-1158 · Fax (626) 331-8551

Phone(626) 331-6999

Fax(626) 331-8551

Sole ProprietorYes

Medical School CMSOtherGraduated 1986

Enumeration DateOctober 4, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1689769622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in CA · PSY10364

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

100 S. CITRUS AVE, Covina, CA 91723

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Other Identifiers 1

Medicare ID-Type UnspecifiedCP10364ACA

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

Paul Joseph Mancillas Phd 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 ID6901976547

PECOS Enrollment IDI20080718000451

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of neuropsychological test, each additional hour 96133

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

293 services15 patients

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

51 services15 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

13 services13 patients

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 Paul Mancillas's NPI number?

The NPI number for Paul Mancillas is 1689769622. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Paul Mancillas located?

Paul Mancillas practices at 100 S. Citrus Ave Ste 206, Covina, CA 91723. The listed phone number is (626) 331-6999.

What is Paul Mancillas's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Paul Mancillas enrolled in Medicare?

Yes. Paul Mancillas 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 Paul Mancillas was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.