Healthcare Provider Details

I. General information

NPI: 1841910130
Provider Name (Legal Business Name): ROSALINDA MANSFIELD CASE MANAGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2022
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 N STREET SUITE 100
MERCED CA
95340-4657
US

IV. Provider business mailing address

1640 N ST STE 100
MERCED CA
95340-4657
US

V. Phone/Fax

Practice location:
  • Phone: 209-201-5486
  • Fax:
Mailing address:
  • Phone: 209-381-6858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: