DR. OLIVIA DANIELLE MANDICH (PSYD) – Psychologist, NPI 1508489733
Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
235 CLINICAL PSYCHOLOGIST in UT
Provider Addresses for DR. OLIVIA DANIELLE MANDICH (PSYD)
424 WARDS CORNER RD STE 200
LOVELAND, OH 451406966
Phone: (513) 707-4041
Fax: (513) 576-1020
Type: Mailing
750 N FREEDOM BLVD
PROVO, UT 846011677
Phone: (801) 373-4760
Fax: (801) 373-0639
Type: Mailing
140 W MAIN ST
WILMINGTON, OH 451772239
Phone: (937) 481-2930
Fax: (937) 382-4717
Type: Location
107 KOONTZ AVE
CLENDENIN, WV 250459578
Phone: (304) 548-7272
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-08-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221208002019 | I | Clinical Psychologist | WV | TBD |
| I20250808003093 | I | Clinical Psychologist | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45140)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | WV | |
| - | WV | |
| Nurse Practitioner | WV | |
| Family Practice | WV | |
| Nurse Practitioner | WV | |
| Family Practice | WV | |
| Nurse Practitioner | WV | |
| Family Practice | WV | |
| Physician Assistant | IA | |
| Physician Assistant | WV |
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