| Dr Olivia Danielle Mandich, PSYD | |
|
140 W Main St, Wilmington, OH 45177-2239 | |
| (937) 481-2930 | |
| (937) 382-4717 |
| Full Name | Dr Olivia Danielle Mandich |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 5 Years |
| Location | 140 W Main St, Wilmington, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508489733 | NPI | - | NPPES |
| 0131028 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | P.08793 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cabin Creek Health Center Inc | 2466431101 | 41 |
| Healthsource Of Ohio, Inc. | 2264328749 | 58 |
| Entity Name | Cabin Creek Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366495525 PECOS PAC ID: 2466431101 Enrollment ID: O20130905000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Olivia Danielle Mandich, PSYD 424 Wards Corner Rd Ste 200, Loveland, OH 45140-6966 Ph: (513) 707-4041 | Dr Olivia Danielle Mandich, PSYD 140 W Main St, Wilmington, OH 45177-2239 Ph: (937) 481-2930 |
Dr. Taylor S Groneck, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 925 S South St, Wilmington, OH 45177 Phone: 859-992-1615 Fax: 859-359-5406 | |
Dr. William Douglas Kennedy, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1550 W Main St, Wilmington, OH 45177 Phone: 937-902-8857 Fax: 937-383-0156 | |
Tera West, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3321 Airborne Rd, Wilmington, OH 45177 Phone: 937-382-6921 |