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MANDANA MOSTOFI PH.D.
NPI 1841670049
Psychologist - Clinical in San Jose, CA

Active since June 02, 2015PECOS EnrolledAccepts Medicare Assignment
360 MERIDIAN AVE APT 313, SAN JOSE, CA 95126(650) 260-3339 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mandana Mostofi Ph.d. NPPES

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

MANDANA MOSTOFI PH.D. (NPI 1841670049) is an individual clinical provider in San Jose, California, licensed in California (PSY36755) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1841670049
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMANDANA MOSTOFICredential: PH.D.
Location Address360 MERIDIAN AVE APT 313San Jose, CA 95126-3462
Mailing Address360 Meridian Ave Apt 313San Jose, CA 95126-3462 · (650) 260-3339
Phone(650) 260-3339
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 2, 2015
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1841670049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY36755
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.
360 MERIDIAN AVE APT 313, San Jose, CA 95126
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mandana Mostofi Ph.d. 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 ID6305318908
PECOS Enrollment IDI20260615003440
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mandana Mostofi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group PC
1.2 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385
Cognitive Care Solutions Group Inc
338 mi
Cognitive & Behavioral
1526 BROOKHOLLOW DR STE 73
Santa Ana, CA 92705
  • Reassigned Medicare billing, California enrollment
  • 87 clinicians in this Medicare group
NPI 1548614183 (714) 545-3390

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95126 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$206.04 typical visit price
range $70.37 – $206.04
Typical copayment $51.51 (range $17.59 – $51.51)
Most-billed visit code 99205
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mandana Mostofi's NPI number?

The NPI number for Mandana Mostofi is 1841670049. It was assigned to this individual provider in the NPPES registry on June 2, 2015.

Where is Mandana Mostofi located?

Mandana Mostofi practices at 360 Meridian Ave Apt 313, San Jose, CA 95126. The listed phone number is (650) 260-3339.

What is Mandana Mostofi's specialty?

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

Is Mandana Mostofi enrolled in Medicare?

Yes. Mandana Mostofi 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.

Which organizations bill Medicare for Mandana Mostofi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mandana Mostofi reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PC (San Jose, CA) and Cognitive Care Solutions Group Inc (Santa Ana, CA). Each 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 Mandana Mostofi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mandana Mostofi was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.