IndividualActive
Michael Mandli, PH.D.
NPI 1508099698 · Psychologist · Wauwatosa, WI
Provider details
- NPI number
- 1508099698
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1445-057 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10265 West North Ave
Suite 103
Wauwatosa, WI 53226
Phone: (414) 617-2656
Street-level locationGet directions
Mailing address
W158n10263 Mohawk Dr
Germantown, WI 53022-4853
Registry dates
- Enumerated
- 2009-08-24
- Last updated
- 2009-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.