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BRONSON MANDEVILLE
NPI 1730985300
Counselor - Mental Health in Puyallup, WA

Active since February 24, 2025
5620 112TH ST E, PUYALLUP, WA 98373(517) 974-3515 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bronson Mandeville NPPES

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

BRONSON MANDEVILLE (NPI 1730985300) is an individual mental health provider in Puyallup, Washington and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1730985300
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBRONSON MANDEVILLE
Location Address5620 112TH ST EPuyallup, WA 98373-3206
Mailing Address5620 112th St EPuyallup, WA 98373-3206 · (517) 974-3515
Phone(517) 974-3515
Sole ProprietorNo
Enumeration DateFebruary 24, 2025
Last NPPES UpdateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
✔ NPI 1730985300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
5620 112TH ST E, Puyallup, WA 98373
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Other Providers at the Same Location NPPES 5

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

BRYCE WILSON, PLLC
Counselor (Mental Health)
5620 112TH ST E, STE. 215
PUYALLUP, WA 98373
Pierce County (253) 446-7176
CHEYENNE BAXTER
Counselor
5620 112TH ST E
SOUTH HILL, WA 98373
Pierce County (253) 446-7176
THOMAS HENRY DDS PS DBA CANYON ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
5620 112TH ST E, SUITE 255
PUYALLUP, WA 98373
Pierce County (253) 256-4000
KORSMO & HENRY DDD PS
Dentist (General Practice)
5620 112TH ST E, SUITE 250
PUYALLUP, WA 98373
Pierce County (253) 770-0529
MR. BRYCE WILSON MA, LMHC, LMFT
Counselor (Mental Health)
5620 112TH ST E, STE. 215
PUYALLUP, WA 98373
Pierce County (253) 446-7176

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 Bronson Mandeville's NPI number?

The NPI number for Bronson Mandeville is 1730985300. It was assigned to this individual provider in the NPPES registry on February 24, 2025.

Where is Bronson Mandeville located?

Bronson Mandeville practices at 5620 112th St E, Puyallup, WA 98373. The listed phone number is (517) 974-3515.

What is Bronson Mandeville's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Bronson Mandeville was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.