Individual provider Active NPI

April Lynn Mancuso, PSYD

  • Clinical Psychologist
  • Gahanna, OH
National Provider Identifier
1912934944
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3311 Issued in OH
Practice address
765 N Hamilton Rd
Suite 210
Gahanna, OH 43230-8703
Phone
(614) 478-4900
Fax
(614) 478-7575
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3311 OH Primary

Addresses

Primary practice location

765 N Hamilton Rd
Suite 210
Gahanna, OH 43230-8703

Mailing address

765 N Hamilton Rd
Suite 210
Gahanna, OH 43230-8703
Phone (614) 478-4900

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120315000306 OH Practitioner - Clinical Psychologist 9335308063 Practice locations: Gahanna, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Wright State University Boonshoft School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

765 N Hamilton Rd
Suite 210
Gahanna, OH 43230-8703
Phone (614) 478-4900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3311OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Past Accepting new patients
Ohiohealth Corporation Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1912934944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 N HAMILTON RD",
            "address_2": "SUITE 210",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432308703",
            "telephone_number": "614-478-4900",
            "fax_number": "614-478-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 N HAMILTON RD",
            "address_2": "SUITE 210",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432308703",
            "telephone_number": "614-478-4900",
            "fax_number": "614-478-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "APRIL",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "3311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.