Healthcare Provider Details

I. General information

NPI: 1306137245
Provider Name (Legal Business Name): LINDA ANN MANDEL LMHC, CRC, PHD, SPSY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDA ANN MANDEL LMHC,CRC, PHD, SPSY

II. Dates (important events)

Enumeration Date: 04/26/2011
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 ASH CT
NEW CITY NY
10956-3746
US

IV. Provider business mailing address

3 ASH CT APT 1
NEW CITY NY
10956-3746
US

V. Phone/Fax

Practice location:
  • Phone: 845-216-4420
  • Fax:
Mailing address:
  • Phone: 845-216-4420
  • Fax: 845-875-9865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number561640
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number374500367800
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number001928-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: