Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285272559 Individual Practitioner Male Practitioner

Michael Anthony Mandella , MA LIC 99

Specialist • Lunenburg, MA

Professional Overview & Biography Verified Profile Summary

Michael Mandella, MA LIC 99 is a registered healthcare professional specializing in Specialist in Lunenburg, MA. Practice services are available at 615 RESERVOIR RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

615 Reservoir Rd

Lunenburg, MA 014621540

Telephone 9787717582
Fax 9785828264

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Lunenburg, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Lunenburg, MA (1181 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2019-12-17
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MA MA99

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 17, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 17, 2019

Registered at 615 RESERVOIR RD, LUNENBURG, MA 014621540 (Tel: 9787717582)

📍
Updated Business Mailing Address December 17, 2019

Registered at 615 RESERVOIR RD, LUNENBURG, MA 014621540 (Tel: 9787717582)

👤
Provider Name / Credentials Updated December 17, 2019

Recorded as MICHAEL MANDELLA, MA LIC 99

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2019

Specialist (License #MA99 in MA)

🟢
Initial NPI Registration & Enumeration December 17, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285272559
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 17, 2019
Last Update: December 17, 2019
Sole Proprietor: Yes

Mailing Address

615 Reservoir Rd

Lunenburg, MA 014621540

Phone: 9787717582

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.