Individual provider Active NPI

Jennifer Dawn Lamanna, PH.D

  • Clinical Psychologist
  • Youngstown, OH
National Provider Identifier
1962838185
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7072 Issued in OH
Practice address
2980 Belmont Ave
Youngstown, OH 44505-1834
Phone
(330) 759-2310
Fax
(330) 759-0018
NPI assigned
Sep 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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 7072 OH Primary

Addresses

Primary practice location

2980 Belmont Ave
Youngstown, OH 44505-1834

Mailing address

2980 Belmont Ave
Youngstown, OH 44505-1834
Phone (330) 759-2310

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
I20131025001699 OH Practitioner - Clinical Psychologist 1658506761 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Youngstown Specialty Care LLCGroup PAC ID 3476950296, 463 clinicians

Practice addresses (Care Compare)

2031 Belmont Ave
Youngstown, OH 44505-2401
Phone (330) 480-3605

410 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7072OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown, LLC Current Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Sep 5, 2023 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Jan 25, 2021 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Sep 5, 2023 Accepting new patients
Psy-Care Inc Clinical Current Accepting new patients
Psycare, Inc Clinical CurrentSince Oct 1, 2013 Accepting new patients
Psycare, Inc. CurrentSince Oct 1, 2013 Accepting new patients
Psycare Inc Past Accepting new patients

Locations

107 Javit Ct
Ste B
Austintown, OH 44515
Phone (330) 270-1400

3837 Starrs Centre Dr
Canfield, OH 44406
Phone (330) 533-1870

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

250 E Federal St
Fl 4
Youngstown, OH 44503
Phone (330) 884-7010

1053 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-3605

2980 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-0276

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Interoperability endpoints

  • Direct secure messaging: jennifer.lamanna@7889b014.micromddirect.com
  • Direct secure messaging: jlamanna842436@direct.bsmhealth.org

Organizations & group practices 8

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": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1962838185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051834",
            "telephone_number": "330-759-2310",
            "fax_number": "330-759-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051834",
            "telephone_number": "330-759-2310",
            "fax_number": "330-759-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMANNA",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "7072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.