CARL JOSEPH MANDANICI
NPI 1871121590
Peer Specialist in Marysville, OH
- Individual
- Male
- Peer Specialist
About CARL MANDANICI
This page provides the complete NPI Profile along with additional information for Carl Mandanici, a provider established in Marysville, Ohio with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1871121590 assigned on March 2020. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1871121590 Verify this NPI
- Provider Name
- CARL JOSEPH MANDANICI
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 729 S WALNUT ST MARYSVILLE, OH 43040
- Location Phone
- (937) 642-9555
- Mailing Address
- 110 CONNOLLY ST MARYSVILLE, OH 43040
- Mailing Phone
- (937) 303-2590
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-29-2020
- Last Update Date
- 03-29-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871121590, enumerated as an "individual" on March 29, 2020.
The provider is located at 729 S WALNUT ST MARYSVILLE, OH 43040 and the phone number is (937) 642-9555.
Peer Specialist with taxonomy code 175T00000X.
