New Albany Psychological Services, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

7370 Issued in OH

Legal business name

NEW ALBANY PSYCHOLOGICAL SERVICES, LLC

Practice address

571 High St Ste 12
Worthington, OH 43085-4132

Phone

(413) 218-1105

Fax

(614) 591-0710

NPI assigned

Dec 28, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Donald Mangine, PH.D.NPI 1376653774

Title

Owner

Phone

(413) 218-1105

Specialties & licenses 1

Addresses

Other names 1

• Joseph D. Mangine, Ph.D. Former legal business name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph D Mangine, PH.D.

  • Counseling Psychologist
  • Worthington, OH
  • NPI 1376653774
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1396100863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "NEW ALBANY PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "MANGINE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-218-1105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OH",
            "license": "7370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joseph D. Mangine, Ph.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Joseph D. Mangine, Ph.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Roger Neba
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• Katelyn Neighbarger, LPC, MA
• Dave F Neiman Jr.
• Georgeann Neuzil, PMCNS
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• Kimberly Newell, RPH
• Carolynn Ann Newman
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• Lynann Newsom, CMA, EMT-B

• Adult Mental Health Clinic/Center in Worthington, OH
• Providers in Worthington, OH by specialty
• Adult Mental Health Clinic/Center 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.