DR. DANIEL MANGOLD (NPI# 1669539029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669539029 |
Entity Type | Individual |
Full Name | DR. DANIEL MANGOLD |
Credential | M.D. |
Practice Address |
790 Ridge Rd Baker Victory Services, D. Mangold, M.d. Lackawanna NY 14218-1629 |
Mailing Address |
144 S Cayuga Rd Williamsville NY 14221-6731 |
Practice Telephone | 7168289313 |
Enumeration Date | 2007-01-03 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
144325 | NY | Allopathic & Osteopathic Physicians |
Street Address |
790 RIDGE RD BAKER VICTORY SERVICES, D. MANGOLD, M.D. |
City | LACKAWANNA |
State | NY |
Zip Code | 14218-1629 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881203669 | Dawn Gayadeen | Counselor | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2020-07-28 |
1518514678 | Dawn Marie Luniewski | Occupational Therapist | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2019-08-23 |
1760959407 | Jordan Toles | Peer Specialist | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-10-31 |
1427533975 | Bianca Scott-malone | Case Manager/Care Coordinator | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-10-01 |
1932684016 | Karen Dwyer | Community Health Worker | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-09-25 |
1487138830 | Kevin Chapman Chapman | Community Health Worker | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-09-21 |
1790269652 | Taryn Wilde | Community Health Worker | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-09-17 |
1740764695 | Bryan Buchanan | Community Health Worker | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-09-17 |
1346724291 | Marium Ashraf | Community Health Worker | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-09-17 |
1528541687 | Sarah Linsler | Community Health Worker | 790 Ridge Rd, Lackawanna, NY 14218-1629 | 2018-09-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811419765 | Jennifer Lynn Cuneo | Nurse Practitioner | 20 Maryknoll Dr, Lackawanna, NY 14218 | 2017-07-12 |
1144579251 | Jennifer Jalil-contreras | Social Worker | 33 Wilkesbarre Avenue, Lackawanna, NY 14218 | 2012-09-05 |
1578833323 | Buffalo Synapse Support, LLC | Specialist/Technologist, Other | 609 Ridge Road, Lackawanna, NY 14218 | 2012-01-11 |
1851546097 | Rania Karam-bayoumi | Family Medicine | 227 Ridge Road, Lackawanna, NY 14218 | 2008-12-01 |
1548427552 | Jennifer Anne Molea | Specialist | 1025 Ridge Road, Lackawanna, NY 14218 | 2008-05-19 |
1649481904 | Richard Edwin Zambron | Dentist | 1243 Ridge Road, Lackawanna, NY 14218 | 2007-05-25 |
1447461876 | Baker Victory Services | Nursing Facility/Intermediate Care Facility | 180 Martin Road, Lackawanna, NY 14218 | 2007-05-25 |
1396956462 | Baker Victory Services | Psychiatric Residential Treatment Facility | 150 Martin Road, Lackawanna, NY 14218 | 2007-05-24 |
1245352921 | Baker Hall | Day Training, Developmentally Disabled Services | 650 Ridge Road, Lackawanna, NY 14218 | 2007-04-04 |
1730210238 | Brandi Arcara | Counselor | 2600 South Park Avenue, Parkview Center, Lackawanna, NY 14218 | 2007-03-08 |
Find all providers in zip 14218 |
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 |
---|---|---|---|---|
1205925039 | Jennifer L Haak | Psychiatry & Neurology | 650 Ridge Rd, Lackawanna, NY 14218-1435 | 2006-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093327611 | Adel Mostafavi, Md PC | Psychiatry & Neurology | 104 W 40th St Rm 400, New York, NY 10018-3692 | 2020-08-17 |
1023632015 | Child and Adult Clinical Psychiatry PC | Psychiatry & Neurology | 75 Prospect St Ste 110, Huntington, NY 11743-3320 | 2020-06-04 |
1598306441 | Place of Mind Child, Adolescent, and Adult Psychiatry P.C. | Psychiatry & Neurology | 240 Central Park S Apt 2h, New York, NY 10019-1435 | 2019-10-02 |
1881102267 | Park Avenue Physicians PC | Psychiatry & Neurology | 5 W 86th St Apt 1b, New York, NY 10024-3663 | 2018-01-19 |
1518478080 | Diego G. Calabria Physician P.C. | Psychiatry & Neurology | 366 N Broadway Ste 304, Jericho, NY 11753-2000 | 2017-10-23 |
1013426865 | Bebsy Estefan Md PC | Psychiatry & Neurology | 3050 Corlear Ave # Phb, Bronx, NY 10463-5180 | 2017-09-25 |
1902281629 | Derek Rudge | Psychiatry & Neurology | 1051 Riverside Dr Rm 235, New York, NY 10032-1007 | 2015-07-23 |
1275918096 | Dr Omar Bashayan Physician Pllc | Psychiatry & Neurology | 155 W 68th St Apt 1102, New York, NY 10023-5816 | 2015-07-22 |
1740676766 | Maura E Tappen | Psychiatry & Neurology | 1860 South Ave, Rochester, NY 14620-4229 | 2015-04-07 |
1194119560 | Krishen Persaud | Psychiatry & Neurology | Stony Brook Psychiatric Associates, Ufpc, Sbumc, Hsc Level 10, Rm.020, Stony Brook, NY 11794-8101 | 2015-03-24 |
Find all providers with the same taxonomy |
City | LACKAWANNA |
Zip Code | 14218 |
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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.