MATTHEW GARY MANDELBAUM PHD
NPI 1952711202
Psychologist in New York, NY

Active since May 07, 2014Opted out of Medicare · through May 2, 2027
220 MANHATTAN AVE, 2U, NEW YORK, NY 10025(917) 608-1331 Get Directions Write a Review

NPPES record last updated: May 7, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew Gary Mandelbaum Phd NPPES

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

MATTHEW GARY MANDELBAUM PHD (NPI 1952711202) is an individual psychologist in New York, New York and active in the NPI registry since May 2014. He has opted out of Medicare through May 2, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1952711202
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMATTHEW GARY MANDELBAUMCredential: PHD
Location Address220 MANHATTAN AVE, 2UNew York, NY 10025-2623
Mailing Address220 Manhattan Ave, 2uNew York, NY 10025-2623 · (917) 608-1331
Sole ProprietorYes
Enumeration DateMay 7, 2014
NPI 1952711202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
220 MANHATTAN AVE, New York, NY 10025

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Matthew Gary Mandelbaum Phd 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 2, 2017 through May 2, 2027.

Opt-Out Effective DateMay 2, 2017
Opt-Out In Effect ThroughMay 2, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

Registered Nurse
220 MANHATTAN AVE, APT 4P
NEW YORK, NY 10025
Speech-Language Pathologist
220 MANHATTAN AVE, APT 4B
NEW YORK, NY 10025

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 Matthew Mandelbaum's NPI number?

The NPI number for Matthew Mandelbaum is 1952711202. It was assigned to this individual provider in the NPPES registry on May 7, 2014.

Where is Matthew Mandelbaum located?

Matthew Mandelbaum practices at 220 Manhattan Ave 2U, New York, NY 10025. The listed phone number is (917) 608-1331.

What is Matthew Mandelbaum's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Matthew Mandelbaum enrolled in Medicare?

No. Matthew Mandelbaum has opted out of Medicare through May 2, 2027. 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 Matthew Mandelbaum was last updated on May 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.