DR. STEPHEN R MANDLER (NPI# 1659420099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659420099 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN R MANDLER |
| Credential | D.O. |
| Practice Address |
2116 Grand Ave Des Moines IA 50312 |
| Mailing Address |
2116 Grand Ave Des Moines IA 50312-5310 |
| Practice Telephone | 5152856781 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2018-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
18550 | MT | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
DO-05063 | IA | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
18550 | MT | Allopathic & Osteopathic Physicians |
| Street Address |
2116 GRAND AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902309404 | Elisa Mcafee | Marriage & Family Therapist | 2116 Grand Ave, Des Moines, IA 50312-5310 | 2018-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837976 | Devon Anderson | Student in an Organized Health Care Education/Training Program | Des Moines University Pa Program, 3200 Grand, Des Moines, IA 50312 | 2020-03-27 |
| 1578190583 | Christian Ostrander | Student in an Organized Health Care Education/Training Program | Des Moines University-pa Program 3200 Grand Avenue, Des Moines, IA 50312 | 2020-03-27 |
| 1194209312 | Margaret Dedecker | Speech-Language Pathologist | 644 24th St., Des Moines, IA 50312 | 2018-09-24 |
| 1942702410 | Nelson-kirby Therapy & Consulting Services, LLC | Marriage & Family Therapist | 3900 Ingersoll Avenue Suite 108, Des Moines, IA 50312 | 2018-03-01 |
| 1851839864 | Lawrence Scanlon | Counselor | 412 42nd St, Des Moines, IA 50312 | 2017-02-09 |
| 1104275122 | Melissa Joshel | Social Worker | 2116 Grand Ave Ste 2, Des Moines, IA 50312 | 2016-06-09 |
| 1629435813 | Abby Michele Miller | Acupuncturist | 531 40th Street, Des Moines, IA 50312 | 2016-01-20 |
| 1326410689 | Dawn Theresa Corriere | Advanced Practice Midwife | 3714 Ingersoll Ave, Des Moines, IA 50312 | 2015-10-27 |
| 1336558154 | Paul Johnston | Counselor | 600 42nd Street, Des Moines, IA 50312 | 2014-08-06 |
| 1083847214 | Mark David Ravreby | Internal Medicine | 3663 Grand Ave, #204, Des Moines, IA 50312 | 2009-09-04 |
| Find all providers in zip 50312 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740623784 | Renuka Velisetty | Psychiatry & Neurology | 411 Laurel St Ste 3310, Des Moines, IA 50314-3027 | 2013-04-09 |
| 1588838841 | Leenu Mishra | Psychiatry & Neurology | 700 East University Ave 3 West, Blank Childrens Psychiatry, Des Moines, IA 50316 | 2008-04-17 |
| 1104032002 | Kathryn Anne Kvederis | Psychiatry & Neurology | 3105 Druid Hill Dr, Des Moines, IA 50315-2122 | 2007-05-15 |
| 1073870226 | Teresa Marie Dolphin-shaw | Psychiatry & Neurology | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2012-04-12 |
| 1699850305 | Lynn Mousel | Psychiatry & Neurology | 925 Porter Ave, Des Moines, IA 50315-7235 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053627182 | Neuropsychiatric Medicine Clinic Pllc | Psychiatry & Neurology | 511 S 3rd St, Clinton, IA 52732-4357 | 2010-08-26 |
| 1922182849 | Harry William Fischer | Psychiatry & Neurology | 17752 Chariot Rd, Elkader, IA 52043-8136 | 2006-10-25 |
| 1750329314 | Child Psychiatry Associates PC | Psychiatry & Neurology | 939 Office Park Rd, Ste 200, West Des Moines, IA 50265-2505 | 2006-06-03 |
| 1336116953 | Suzanne Brown Henry | Psychiatry & Neurology | 2593 Holiday Rd, Coralville, IA 52241 | 2006-03-02 |
| 1982675559 | Ivan Delgado-ramos | Psychiatry & Neurology | 1500 E 10th St, Atlantic, IA 50022-1935 | 2006-01-31 |
| 1477045797 | Chantal Julitta Rozmus | Psychiatry & Neurology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2018-06-01 |
| 1972739894 | Amanda Courtney Elliott | Psychiatry & Neurology | 200 Hawkins Dr, Department of Psychiatry - 1870 Jpp, Iowa City, IA 52242-1009 | 2009-06-05 |
| 1649405879 | Brady Bradshaw | Psychiatry & Neurology | 1340 Blairs Ferry Rd, Hiawatha, IA 52233-1900 | 2009-05-18 |
| 1497964209 | Susan Pike | Psychiatry & Neurology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2007-05-21 |
| 1760694939 | Deanna Book Boesen Md PC | Psychiatry & Neurology | 3408 Woodland Ave, Suite 502, West Des Moines, IA 50266-6506 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | DES MOINES |
| Zip Code | 50312 |
Please comment or provide details below to improve the information on DR. STEPHEN R MANDLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.