Dr Lyn J Mangiameli, PHD is a
Clinical Neuropsychologist based in San Jose, California. Dr Lyn J Mangiameli is licensed to practice in California (license number PSY 25076) and his current practice location is
320 S 3rd St, Suite 201, San Jose, California. He can be reached at his office (for appointments etc.) via phone at
(415) 999-6793.
NPI number for Dr Lyn J Mangiameli is 1134487333 and his current mailing address is 127 Carson Ct, Sunnyvale, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134487333.
Healthcare Provider's Profile
| Full Name | Dr Lyn J Mangiameli |
|---|
| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 320 S 3rd St, San Jose, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134487333
- Provider Enumeration Date: 04/25/2012
- Last Update Date: 07/19/2012
Medical Identifiers
Medical identifiers for Dr Lyn J Mangiameli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134487333 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PSY 25076 (California) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY 25076 (California) | Primary |
| 103TF0200X | Psychologist - Forensic | PSY 25076 (California) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | PSY 25076 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lyn J Mangiameli is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Lyn J Mangiameli, PHD
127 Carson Ct,
Sunnyvale, CA 94086-5822
Ph: (415) 999-6793 | Dr Lyn J Mangiameli, PHD
320 S 3rd St, Suite 201,
San Jose, CA 95112-3648
Ph: (415) 999-6793 |
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