Bryan B Manderfield, PCC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.0500983-SUPV Issued in OH

Practice address

311 Albert Sabin Way
Cincinnati, OH 45229-2838

Phone

(513) 558-5801

NPI assigned

Apr 11, 2016

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Clinic Outpatient ServicesGroup PAC ID 3870860380, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Central Clinic Outpatient Services

  • Mental Health Counselor
  • Cincinnati, OH
  • NPI 1326589722
  Medicare reassignment Care Compare group NPD
• Central Clinic Inc Mental Health Access Point

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
  • NPI 1881607471
  NPD
• Central Clinic Outpatient Services

  • Addiction (Substance Use Disorder) Counselor
  • Cincinnati, OH
  • NPI 1023549391

  Mental Health

  NPD

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1356705867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 ALBERT SABIN WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452292838",
            "telephone_number": "513-558-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 ALBERT SABIN WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452292838",
            "telephone_number": "513-558-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDERFIELD",
        "first_name": "BRYAN",
        "middle_name": "B",
        "credential": "PCC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0500983-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0207876",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Dianne Manazer, OTR/L
• Jeffrey David Mancini, D.O.
• Delaney Mandel
• Mandell- Brown Plastic Surgery Center, LLC
• Mark Mandell-Brown, MD
• Ernest Charles Manders, M.D.
• Jennifer Bryna Katz Manders, MD
• Victoria Mandessy
• Olivia Mandic, N.P
• David Victor Mandich, PSYD

• Mental Health Counselor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.

Verify at the official NPI Registry.