Provider Demographics
NPI:1467976134
Name:MENDEL, CAROLINE (PSYD)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:MENDEL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 PARK AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-8649
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CHILD MIND INSTITUTE
Practice Address - Street 2:445 PARK AVE FL 2
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-8649
Practice Address - Country:US
Practice Address - Phone:646-625-4321
Practice Address - Fax:646-625-4348
Is Sole Proprietor?:No
Enumeration Date:2017-08-03
Last Update Date:2017-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022217103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical