Olivia Danielle Mandich, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

P.08793 Issued in OH

Practice address

140 W Main St
Wilmington, OH 45177-2239

Phone

(937) 481-2930

Fax

(937) 382-4717

NPI assigned

May 21, 2020

Last updated

Feb 13, 2026By the provider in NPPES

Sex

Female

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

Other names 1

• Dr. Olivia Danielle Runyon Former name

Medicare fee-for-service enrollment

Enrolled in WV, OH2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthsource of Ohio IncGroup PAC ID 2264328749, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7267/brand/1/csg/1/fhir/r4
• Direct secure messaging: olivia.mandichpsyd.p1@direct.hsohio.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthsource of Ohio, Inc.

  dba HealthSource: Anderson OB/Gyn

  • Obstetrics & Gynecology Physician
  • Cincinnati, OH
  • NPI 1275966863
  Medicare reassignment Care Compare group NPD
• Cabin Creek Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Dawes, WV
  • NPI 1366495525
  Medicare reassignment NPD
• Healthsource of Ohio, Inc.

  dba HealthSource: Wilmington

  • Primary Care Clinic/Center
  • Wilmington, OH
  • NPI 1427368596
  NPD
• Healthsource of Ohio, Inc.

  dba HealthSource Blanchester

  • Clinic/Center
  • Blanchester, OH
  • NPI 1528826351
  NPD
• Cabin Creek Health Center, Inc.

  dba Westside Health Center

  • Federally Qualified Health Center (FQHC)
  • Charleston, WV
  • NPI 1194596759
  NPD
• Healthsource of Ohio, Inc.

  dba HealthSource: Felicity

  • Federally Qualified Health Center (FQHC)
  • Felicity, OH
  • NPI 1053049213
  NPD (past)
• Clendenin Health Center Pharmacy at Riverview

  dba Riverview Pharmacy

  • Community/Retail Pharmacy
  • Clendenin, WV
  • NPI 1285928804
  NPD (past)

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1508489733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 WARDS CORNER RD STE 200",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451406966",
            "telephone_number": "513-707-4041",
            "fax_number": "513-576-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W MAIN ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772239",
            "telephone_number": "937-481-2930",
            "fax_number": "937-382-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDICH",
        "first_name": "OLIVIA",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "P.08793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0131028",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "RUNYON",
            "middle_name": "DANIELLE",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mancell Vontrell Lyttle, CDCA
• William Glenn Macdonald, O.D.
• Carissa C Macella, LPCC
• Main Medical, Inc.
• Brooke N Malicote, LPN-MEDS-IV
• Andrew J Manganaro, MD
• Manish Chopra DMD Inc. (Center for Dental Health)
• Jeffrey David Manser, MD
• Daniel Manzanillo
• Robyn Lynne Maple-Vilvens

• Psychologist in Wilmington, OH
• Providers in Wilmington, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.