DR. JAMES ANGELO MANGANELLO (NPI# 1851454938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851454938 |
| Entity Type | Individual |
| Full Name | DR. JAMES ANGELO MANGANELLO |
| Credential | PH.D. |
| Practice Address |
9 Grapevine Ave Suite 2 Lexington MA 02421-7062 |
| Practice Telephone | 7818630350 |
| Practice Fax Number | 7816742450 |
| Mailing Telephone | 7818630350 |
| Mailing Fax Number | 7816742450 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
PY3212PR | MA | Behavioral Health & Social Service Providers |
| Street Address |
9 GRAPEVINE AVE SUITE 2 |
| City | LEXINGTON |
| State | MA |
| Zip Code | 02421-7062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149300 | Streettherapy,llc | Counselor | Triad Adolescent Services, 363 Mass. Ave., Suite204, Lexington, MA 02421 | 2019-11-20 |
| 1598249922 | Kelly Sexton | Social Worker | Labbb Collaborative Lexington High School, 251 Waltham St, MA 02421 | 2018-09-21 |
| 1538641956 | Jill Or Planeta | Social Worker | 40 Taft Ave, Lexington, MA 02421 | 2018-09-01 |
| 1902390388 | Erika Yaneth Valek | Counselor | 125 Hartwell Avenue, Lexington, MA 02421 | 2018-06-19 |
| 1366743668 | Elizabeth Ann Murphy | Social Worker | 17 Stedman Rd, Lexington, MA 02421 | 2010-11-03 |
| 1003045063 | Nils Becker | Pathology | 1 Cranberry Hill Ste 303, Lexington, MA 02421 | 2009-07-10 |
| 1780829556 | Lynn Joan Meltzer | Psychologist | Institute for Learning and Development, 4 Militia Drive, Lexington, MA 02421 | 2008-12-09 |
| 1962666511 | Kristin Stanley Rullo | Optometrist | 21 Worthen Road, Lexington, MA 02421 | 2008-07-14 |
| 1861660201 | Jillian S Imagire | Radiology | Concert Pharmaceuticals, 99 Hayden Ave, Suite 100, Lexington, MA 02421 | 2008-02-20 |
| 1144498049 | Lexington Dental Associates | Dentist | 271 Lincoln Street, Suite 2, Lexington, MA 02421 | 2008-02-13 |
| Find all providers in zip 02421 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659593630 | Lea Jean Perritt | Psychologist | 369 West Vine Street, Suite 1904, Lexington, KY 40507-1834 | 2007-05-02 |
| 1194804062 | Danielle Detora | Psychologist | 1666 Massachusetts Ave, Suite 3, Lexington, MA 02420-5317 | 2006-11-03 |
| 1558907063 | Mary Rogers | Psychologist | 1500 Leestown Rd Ste 332, Lexington, KY 40511-1981 | 2019-11-19 |
| 1477715480 | Kourtni Sharee Badgett | Psychologist | 1101 Veterans Dr, 116a, Lexington, KY 40502-2235 | 2008-06-30 |
| 1619061470 | Bluegrass Health Psychology Inc | Psychologist | 2560 Richmond Rd, Suite 102, Lexington, KY 40509-1769 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312755 | Daniel Engmann | Psychologist | 316 Main St Ste 202, Worcester, MA 01608-1553 | 2020-09-25 |
| 1750903738 | Corrina D Salo | Psychologist | 5 Alcott St, Acton, MA 01720-5501 | 2020-05-12 |
| 1285286047 | Cinthia Diaz-ramirez | Psychologist | 4 Beverly Commons Dr Apt 36, Beverly, MA 01915-5559 | 2019-07-11 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1124510383 | Deborah Christine Nelson | Psychologist | 39 Boxford Rd, Ipswich, MA 01938-1025 | 2018-06-04 |
| 1104358696 | Chloe Greenbaum | Psychologist | 872 Massachusetts Avenue, Suite 2-1, Cambridge, MA 02139-2316 | 2017-04-03 |
| 1801281233 | Maria Abreu | Psychologist | 4 Royal St, Lawrence, MA 01841-4120 | 2015-04-02 |
| 1003226713 | Kristy Shockley | Psychologist | 96 W Meadow Rd, Lowell, MA 01854-1421 | 2014-05-02 |
| 1174811426 | Rachel Fox-weinberg | Psychologist | 12 Butternut Rd., Westford, MA 01886-1351 | 2011-07-20 |
| 1770763237 | Lissa Young | Psychologist | 1017 Turnpike St Ste 12c, Canton, MA 02021-2847 | 2007-11-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.