JULIE GARDNER MANDEL PHD
NPI 1720062730
Psychologist - Clinical in Newton Highlands, MA

Q: What is Julie Mandel's NPI number?

The NPI number for Julie Mandel is 1720062730. It was assigned to this individual provider in the NPPES registry on December 2, 2005. The provider is also known as Julie Anne Gardner Phd.

Q: What is Julie Mandel's specialty?

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

Q: Is Julie Mandel enrolled in Medicare?

No. Julie Mandel has opted out of Medicare through January 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Julie Mandel was last updated on January 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 December 02, 2005Opted out of Medicare · through Jan 24, 2028

100 WOODCLIFF RD, NEWTON HIGHLANDS, MA 02461(617) 733-5438 Get Directions Write a Review

NPPES record last updated: January 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2024, Dec 7, 2023 (2 updates tracked since 2023).

On this page

About Julie Gardner Mandel Phd NPPES

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

JULIE GARDNER MANDEL PHD (NPI 1720062730) is an individual clinical provider in Newton Highlands, Massachusetts, licensed in Massachusetts (6776) and active in the NPI registry since December 2005. She has opted out of Medicare through January 24, 2028.

NPPES Registry Identity

NPI1720062730

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJULIE GARDNER MANDELCredential: PHD

Location Address100 WOODCLIFF RDNewton Highlands, MA 02461-1845

Mailing Address100 Woodcliff RdNewton Highlands, MA 02461-1845 · (617) 733-5438

Phone(617) 733-5438

Sole ProprietorYes

Enumeration DateDecember 2, 2005

Last NPPES UpdateJanuary 6, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2024

✔ NPI 1720062730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MA · 6776

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.

Also ListedPsychologistTaxonomy 103T00000X · License 6776 (MA)

100 WOODCLIFF RD, Newton Highlands, MA 02461

Open in Google Maps ↗

Other Names 1

Former Name (1)Julie Anne Gardner Phd

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Julie Gardner Mandel 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 January 24, 2024 through January 24, 2028.

Opt-Out Effective DateJanuary 24, 2024

Opt-Out In Effect ThroughJanuary 24, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Julie Mandel's NPI number?

The NPI number for Julie Mandel is 1720062730. It was assigned to this individual provider in the NPPES registry on December 2, 2005. The provider is also known as Julie Anne Gardner Phd.

Where is Julie Mandel located?

Julie Mandel practices at 100 Woodcliff Rd, Newton Highlands, MA 02461. The listed phone number is (617) 733-5438.

What is Julie Mandel's specialty?

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

Is Julie Mandel enrolled in Medicare?

No. Julie Mandel has opted out of Medicare through January 24, 2028. 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 Julie Mandel was last updated on January 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.