Active NPI
Nicole Mancuso, ED. S.
- School Psychologist
- Medina, OH
National Provider Identifier
1588087183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- LSP.02354
- Practice address
- 320 N Spring Grove St
Medina, OH 44256-1969 - Phone
- (330) 636-4156
- NPI assigned
- Feb 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | LSP.02354 | OH | Primary |
Addresses
Primary practice location
320 N Spring Grove St
Medina, OH 44256-1969
Mailing address
320 N Spring Grove St
Medina, OH 44256-1969
Phone (330) 636-4156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH3053560 | OH | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cuyahoga Falls City Schools | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Cuyahoga Falls, OH
- NPI 1295988020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1588087183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 N SPRING GROVE ST",
"city": "MEDINA",
"state": "OH",
"postal_code": "442561969",
"telephone_number": "330-636-4156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 N SPRING GROVE ST",
"city": "MEDINA",
"state": "OH",
"postal_code": "442561969",
"telephone_number": "330-636-4156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCUSO",
"first_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "ED. S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-03",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "LSP.02354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.