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J MANDAVA LLC
NPI 1811083892
Psychiatry & Neurology - Psychiatry in Saint Peters, MO

Active since October 05, 2006
255 SPENCER RD, SUITE 201, SAINT PETERS, MO 63376(636) 939-2550(636) 939-2551 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About J Mandava Llc NPPES

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

J MANDAVA LLC (NPI 1811083892) is a healthcare organization registered as a psychiatry in Saint Peters, Missouri and active in the NPI registry since October 2006. The organization lists Jyothi Mandava, Owner, as its authorized official.

NPPES Registry Identity

NPI1811083892
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameJ MANDAVA LLC
Location Address255 SPENCER RD, SUITE 201Saint Peters, MO 63376-2494
Mailing Address255 Spencer Rd, Suite 201Saint Peters, MO 63376-2494 · (636) 939-2550 · Fax (636) 939-2551
Phone(636) 939-2550
Fax(636) 939-2551
Organization SubpartNo
Authorized OfficialJyothi MandavaOwner · (636) 939-2550
Enumeration DateOctober 5, 2006
Last NPPES UpdateJune 18, 2008
✔ NPI 1811083892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
255 SPENCER RD, Saint Peters, MO 63376
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

J Mandava Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to J Mandava LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jyothi Mandava, M.D.
Psychiatry
NPI 1891809539
16091 SWINGLEY RIDGE RD STE 100
Chesterfield, MO 63017
(636) 778-1195
✔ PECOS✔ Accepts Medicare9.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 J Mandava LLC's NPI number?

The NPI number for J Mandava LLC is 1811083892. It was assigned to this organization in the NPPES registry on October 5, 2006.

Where is J Mandava LLC located?

J Mandava LLC is located at 255 Spencer Rd Suite 201, Saint Peters, MO 63376. The listed phone number is (636) 939-2550.

What is J Mandava LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is J Mandava LLC enrolled in Medicare?

Yes. J Mandava LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through J Mandava LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to J Mandava LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for J Mandava LLC was last updated on June 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.