Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Lawrence J Mandt, PHD

Individual provider Clinical Psychologist · NPI 1255361002

Dr. Lawrence J Mandt, PHD is a Clinical Psychologist in Madison, Wisconsin. Qualified in 1986, 40 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
40
Licensed in
WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2254 Monroe St
Madison, WI 53711-1902
Phone: (608) 223-9767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 1610-57 (WI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 1610 (WI)

Record details

NPI number1255361002
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJuly 4, 2006
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023
Mailing addressS88w25730 Edgewood Ave, Mukwonago, WI 53149-9609

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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