DR. OLIVIA DANIELLE MANDICH PSYD
NPI 1508489733
Psychologist in Wilmington, OH

Active since May 21, 2020PECOS EnrolledAccepts Medicare Assignment
140 W MAIN ST, WILMINGTON, OH 45177(937) 481-2930(937) 382-4717 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 29, 2022, May 21, 2020 (2 updates tracked since 2020).

About Dr. Olivia Danielle Mandich Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. OLIVIA DANIELLE MANDICH PSYD (NPI 1508489733) is an individual psychologist in Wilmington, Ohio, licensed in Ohio (P.08793) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1508489733
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. OLIVIA DANIELLE MANDICHCredential: PSYD
Location Address140 W MAIN STWilmington, OH 45177-2239
Mailing Address424 Wards Corner Rd Ste 200Loveland, OH 45140-6966 · (513) 707-4041 · Fax (513) 576-1020
Fax(937) 382-4717
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 21, 2020
Last NPPES UpdateFebruary 13, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2026
✔ NPI 1508489733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in OH · P.08793
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
140 W MAIN ST, Wilmington, OH 45177

Other Names 1

Former Name (1)Dr. Olivia Danielle Runyon Psyd

Other Identifiers 1

Medicaid0131028OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Olivia Danielle Mandich Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618346933
PECOS Enrollment IDI20250808003093
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Olivia Mandich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
140 W MAIN ST
Wilmington, OH 45177
  • Reassigned Medicare billing, Ohio enrollment
  • 79 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
7133 SISSONVILLE DR
Sissonville, WV 25320
  • Reassigned Medicare billing, West Virginia enrollment
  • 74 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
140 W MAIN ST
WILMINGTON, OH 45177
Nurse Practitioner (Family)
140 W MAIN ST
WILMINGTON, OH 45177
Nurse Practitioner (Family)
140 W MAIN ST
WILMINGTON, OH 45177
Nurse Practitioner (Family)
140 W MAIN ST
WILMINGTON, OH 45177
Clinic/Center (Federally Qualified Health Center (FQHC))
140 W MAIN ST
WILMINGTON, OH 45177
Clinic/Center (Primary Care)
140 W MAIN ST
WILMINGTON, OH 45177
Family Medicine
140 W MAIN ST
WILMINGTON, OH 45177

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olivia Mandich's NPI number?

The NPI number for Olivia Mandich is 1508489733. It was assigned to this individual provider in the NPPES registry on May 21, 2020. The provider is also known as Dr. Olivia Danielle Runyon Psyd.

Where is Olivia Mandich located?

Olivia Mandich practices at 140 W Main St, Wilmington, OH 45177. The listed phone number is (937) 481-2930.

What is Olivia Mandich's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Olivia Mandich enrolled in Medicare?

Yes. Olivia Mandich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Olivia Mandich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olivia Mandich reassigns Medicare benefits to 2 organizations: Healthsource Of Ohio, Inc. (Wilmington, OH) and Cabin Creek Health Center Inc (Sissonville, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Olivia Mandich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Olivia Mandich accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 1 other insurer list Olivia Mandich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Olivia Mandich was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.