Active NPI
Dante Emmanuel Mancini, PHD
- Clinical Psychologist
- Oakmont, PA
National Provider Identifier
1336283852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS016229
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336283852 | Other | NPPES |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 015612 | NY | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.