Dr Nicole E Mantegna, PSYD in Mission Viejo, CA - Medicare Clinical Psychologist Provider

Dr Nicole E Mantegna, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Mission Viejo, California. She graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Harbor Psychiatry And Mental Health Professional Corporation and her current practice location is 25950 Acero Ste 360, Mission Viejo, California. You can reach out to her office (for appointments etc.) via phone at (949) 796-9810.

Dr Nicole E Mantegna is licensed to practice in California (license number PSYCH30969) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083996672.

Contact Information

	Dr Nicole E Mantegna, PSYD
	25950 Acero Ste 360, Mission Viejo, CA 92691-2781
	(949) 796-9810
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nicole E Mantegna
Gender	Female
Speciality	Clinical Psychologist
Experience	12 Years
Location	25950 Acero Ste 360, Mission Viejo, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Nicole E Mantegna graduated from medical school in 2014

NPI Data:

NPI Number: 1083996672
Provider Enumeration Date: 09/09/2011
Last Update Date: 03/30/2026

Medicare PECOS Information:

PECOS PAC ID: 2668990557
Enrollment ID: I20250514003100

Medical Identifiers

Medical identifiers for Dr Nicole E Mantegna such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083996672	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSYCH30969 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Harbor Psychiatry And Mental Health Professional Corporation	8729394572	19

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nicole E Mantegna allows following entities to bill medicare on her behalf.

Entity Name	Harbor Psychiatry & Mental Health Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780050054 PECOS PAC ID: 8729394572 Enrollment ID: O20150825004062

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicole E Mantegna is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Nicole E Mantegna, PSYD 27812 Berwick, Mission Viejo, CA 92691-7416 Ph: (949) 796-9810	Dr Nicole E Mantegna, PSYD 25950 Acero Ste 360, Mission Viejo, CA 92691-2781 Ph: (949) 796-9810

Reviews and Comments

Psychologist in Mission Viejo, CA

Dr. Sharon M. Gruber, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 26431 Crown Valley Pkwy, Suite #100, Mission Viejo, CA 92691 Phone: 949-348-6700
Shandrey Krone, AMFT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 26431 Crown Valley Pkwy Ste 260, Mission Viejo, CA 92691 Phone: 949-346-1672
Dr. Lilya Kruglyansky Reiss, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 26381 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691 Phone: 949-374-6550 Fax: 949-916-6245
Stephanie Marie Porras, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 24000 Alicia Pkwy # 17-357, Mission Viejo, CA 92691 Phone: 951-207-0709
Jacqlyn Quintina Wax, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 27201 Puerta Real Ste 300, Mission Viejo, CA 92691 Phone: 949-354-4147
Dr. Laqeishia Sharrice Hagans, EDD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 27261 Las Ramblas Ste 220, Mission Viejo, CA 92691 Phone: 909-519-6159
Dr. Stuart Kirschbaum, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 27001 La Paz Rd, Suite 418, Mission Viejo, CA 92691 Phone: 949-215-2500 Fax: 949-203-8686

Dr Nicole E Mantegna, PSYD - Medicare Psychologist in Mission Viejo, CA