Individual provider Active NPI

Dante Emmanuel Mancini, PHD

  • Clinical Psychologist
  • Oakmont, PA
National Provider Identifier
1336283852
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016229 Issued in PA
Practice address
508 Allegheny River Blvd Ste 206
Oakmont, PA 15139-1648
Phone
(412) 992-8923
Fax
(866) 388-7871
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 015612 NY
Clinical Psychologist 103TC0700X PS016229 PA Primary

Addresses

Primary practice location

508 Allegheny River Blvd Ste 206
Oakmont, PA 15139-1648

Mailing address

508 Allegheny River Blvd Ste 206
Oakmont, PA 15139-1648
Phone (412) 992-8923

Other practice location 1

7000 Stonewood Dr Ste 151
Wexford, PA 15090-7376
Phone (724) 933-0300

Other identifiers 1

IdentifierTypeStateIssuer
1336283852OtherNPPES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150921001844 PA Practitioner - Clinical Psychologist 7719294982 Practice locations: Oakmont, PA; Wexford, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

508 Allegheny River Blvd
Suite 206
Oakmont, PA 15139-1648
Phone (412) 992-8923

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
015612NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1336283852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 ALLEGHENY RIVER BLVD STE 206",
            "city": "OAKMONT",
            "state": "PA",
            "postal_code": "151391648",
            "telephone_number": "412-992-8923",
            "fax_number": "877-388-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 ALLEGHENY RIVER BLVD STE 206",
            "city": "OAKMONT",
            "state": "PA",
            "postal_code": "151391648",
            "telephone_number": "412-992-8923",
            "fax_number": "866-388-7871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 Stonewood Dr Ste 151",
            "address_purpose": "LOCATION",
            "city": "Wexford",
            "state": "PA",
            "postal_code": "150907376",
            "country_code": "US",
            "telephone_number": "724-933-0300",
            "fax_number": "724-933-0456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "DANTE",
        "middle_name": "EMMANUEL",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015612",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1336283852",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakmont, PA

Sources for this page

Verify at the official NPI Registry.