Provider Demographics
NPI:1851778617
Name:SILVERMAN, MANDI DANIELLE (PSYD, MBA)
Entity Type:Individual
Prefix:DR
First Name:MANDI
Middle Name:DANIELLE
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:PSYD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:90 MILLBURN AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1933
Mailing Address - Country:US
Mailing Address - Phone:973-378-5525
Mailing Address - Fax:646-625-4348
Practice Address - Street 1:90 MILLBURN AVE STE 102
Practice Address - Street 2:
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1933
Practice Address - Country:US
Practice Address - Phone:973-378-5525
Practice Address - Fax:646-625-4348
Is Sole Proprietor?:No
Enumeration Date:2015-04-30
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020592103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical