AMY MANDELBERG
NPI 1760153407
Counselor - Professional in Towson, MD
About Amy Mandelberg NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY MANDELBERG (NPI 1760153407) is an individual professional provider in Towson, Maryland, licensed in Maryland (LGP11936) and active in the NPI registry since September 2021. She has opted out of Medicare through May 9, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Amy Mandelberg 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 May 9, 2024 through May 9, 2028.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21204
BALTIMORE, MD 21204
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 Amy Mandelberg's NPI number?
The NPI number for Amy Mandelberg is 1760153407. It was assigned to this individual provider in the NPPES registry on September 22, 2021. The provider is also known as Amy Mandelberg Lgpc.
Where is Amy Mandelberg located?
Amy Mandelberg practices at 6501 N Charles St, Towson, MD 21204. The listed phone number is (410) 927-5462.
What is Amy Mandelberg's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Amy Mandelberg enrolled in Medicare?
No. Amy Mandelberg has opted out of Medicare through May 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Amy Mandelberg was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Amy Mandelberg · NPI 1760153407
Professional provider in Towson, Maryland. Individual provider, active in the CMS NPPES registry since September 22, 2021.
## Identity
- **NPI:** 1760153407 (Entity type: Individual)
- **Enumerated:** September 22, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LGP11936 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 6501 N CHARLES ST, Towson, MD 21204-6819
- **Phone:** (410) 927-5462
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 9, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** September 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1760153407) · Data from the CMS NPPES public registry.