| New Albany Psychological Services, Llc | |
|
571 High St Ste 12 Worthington OH 43085-4132 | |
| (413) 218-1105 | |
| (614) 591-0710 |
| Full Name | New Albany Psychological Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 571 High St Ste 12, Worthington, Ohio |
| Authorized Official Name and Position | Joseph Donald Mangine (OWNER) |
| Authorized Official Contact | 4132181105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Albany Psychological Services, Llc 571 High St Ste 12 Worthington OH 43085-4132 Ph: (413) 218-1105 | New Albany Psychological Services, Llc 571 High St Ste 12 Worthington OH 43085-4132 Ph: (413) 218-1105 |
| NPI Number | 1396100863 |
|---|---|
| Provider Enumeration Date | 12/28/2015 |
| Last Update Date | 01/13/2021 |
| Certification Date | 01/13/2021 |
| Medicare PECOS PAC ID | 9638476716 |
|---|---|
| Medicare Enrollment ID | O20160405001498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396100863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 7370 (Ohio) | Primary |
| Provider Name | Joseph Mangine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376653774 PECOS PAC ID: 4284634247 Enrollment ID: I20160405001791 |
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