DR. LAWRENCE J MANDT (PH.D.) – Psychologist, NPI 1255361002
Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
667 CLINICAL PSYCHOLOGIST in WI
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Provider Addresses for DR. LAWRENCE J MANDT (PH.D.)
2254, Monroe Street, Dudgeon-Monroe, Madison, Dane County, Wisconsin, 53711, United States
MADISON, WI 537111902
Phone: (608) 256-0398
Type: Mailing
6000, Monona Drive, Monona, Dane County, Wisconsin, 53716, United States
SUITE 203
MONONA, WI 537162634
Phone: (608) 223-9767
Type: Location
S88W25730 EDGEWOOD AVE
MUKWONAGO, WI 531499609
Phone: (262) 706-3391
Type: Mailing
2254 MONROE ST
MADISON, WI 537111902
Phone: (608) 223-9767
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-02-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080221000337 | I | Clinical Psychologist | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 53711)
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