Leanna Elaine Manuel, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5340 Issued in OH

Practice address

1321 Research Park Dr
Suite 200
Beavercreek, OH 45432-2851

Phone

(937) 431-3870

Fax

(937) 431-3871

NPI assigned

Jul 31, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cca Companies LLC

  • Clinical Psychologist
  • Beavercreek Township, OH
  • NPI 1427202647
  NPD Authorized official
• Choices Changes Attitudes, LLC

  • Clinical Psychologist
  • Beavercreek, OH
  • NPI 1679633515
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1003816091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 RESEARCH PARK DR",
            "address_2": "SUITE 200",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322851",
            "telephone_number": "937-431-3870",
            "fax_number": "937-431-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 RESEARCH PARK DR",
            "address_2": "SUITE 200",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322851",
            "telephone_number": "937-431-3870",
            "fax_number": "937-431-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "LEANNA",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-31",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "311588267",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2261421",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Indervir Mann, DDS
• Jennifer L Mann, LCSW
• Karie L. Mann, LISW
• Rahul Manne
• Valerie Mantz
• Maple Tree Cancer Alliance
• Kaitlyn Elizabeth Marker
• Gabrielle Markley
• Nicole Joanne Martinez
• Amy Mason, OT

• Clinical Psychologist in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.