Individual provider Active NPI

James Wesley Manuel, PSY.D.

  • Psychologist
  • Dayton, OH
National Provider Identifier
1982849352
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7170 Issued in OH
Practice address
120 W 2ND St Ste 400
Dayton, OH 45402-1602
Phone
(937) 329-1298
Fax
(817) 394-5075
NPI assigned
Dec 12, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7170 OH Primary

Addresses

Primary practice location

120 W 2ND St Ste 400
Dayton, OH 45402-1602

Mailing address

4800 Spring Lake Pkwy
Mansfield, TX 76063-5593
Phone (937) 329-1298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, 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

Enrollment IDStateProvider typePAC IDDetails
I20190822001258 MA Practitioner - Clinical Psychologist 8325171036 Reassigns benefits to 1 organization
I20251209000346 OH Practitioner - Clinical Psychologist 8325171036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Wright State University Boonshoft School of Medicine, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

120 W 2ND St
Suite 400
Dayton, OH 45402-1602

4800 Spring Lake Pkwy
Mansfield, TX 76063-5593

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
10934MAMDMental Health Counselor
7170OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
RMG Home Care, Inc Past Accepting new patients
Deer Oaks Mental Health Associates PC Past Accepting new patients

Organizations & group practices 4

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": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1982849352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 SPRING LAKE PKWY",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635593",
            "telephone_number": "937-329-1298",
            "fax_number": "817-394-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 2ND ST STE 400",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454021602",
            "telephone_number": "937-329-1298",
            "fax_number": "817-394-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "JAMES",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-12",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "7170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.