Joseph D Mangine, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

7370 Issued in OH

Practice address

571 High St Ste 12
Worthington, OH 43085-4132

Phone

(413) 218-1105

Fax

(614) 591-0710

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• New Albany Psychological Services, LLC

  • Adult Mental Health Clinic/Center
  • Worthington, OH
  • NPI 1396100863
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1376653774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 FOREST DR",
            "address_2": "SUITE 210",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548167",
            "telephone_number": "413-218-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 HIGH ST STE 12",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854132",
            "telephone_number": "413-218-1105",
            "fax_number": "614-591-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGINE",
        "first_name": "JOSEPH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OH",
            "license": "P.7370",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OH",
            "license": "7370",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "7134",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0174857",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine M Malkin, PHD
• Judith Ann Maloney
• Tessa Maloney, LPCC
• Matthew E Mancuso, D.C.
• John Manders
• Amie N/a Mansaray, BT
• Mohamed Mansaray
• Shannon Maria Manuche, DPT
• Doreen Marfo
• Marin'S Hope Counseling

• Counseling Psychologist in Worthington, OH
• Providers in Worthington, OH by specialty
• Counseling Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.