Active NPI
Mary Theresa McManaman, PH.D.
- Psychologist
- Lancaster, PA
National Provider Identifier
1811450109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS018365
- Practice address
- 313 W Liberty St Ste 251
Lancaster, PA 17603-2748 - Phone
- (717) 388-4159
- Fax
- (717) 807-6133
- NPI assigned
- Apr 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS018365 | PA | Primary |
Addresses
Primary practice location
313 W Liberty St Ste 251
Lancaster, PA 17603-2748
Mailing address
1009 Woods Ave
Lancaster, PA 17603-3126
Phone (302) 236-6824
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS018365 | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618358400000",
"number": "1811450109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 WOODS AVE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176033126",
"telephone_number": "302-236-6824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 W LIBERTY ST STE 251",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176032748",
"telephone_number": "717-388-4159",
"fax_number": "717-807-6133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMANAMAN",
"first_name": "MARY",
"middle_name": "THERESA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-12",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS018365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.