Sara Lynn Manganello

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

11 Chaplin St
Newington, CT 06111-3208

Phone

(860) 970-4173

NPI assigned

Mar 3, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: sara.manganello.p1@direct.wheelerclinic.nextgenshare.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1053068676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CHAPLIN ST",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061113208",
            "telephone_number": "860-970-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CHAPLIN ST",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061113208",
            "telephone_number": "860-970-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGANELLO",
        "first_name": "SARA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102375306",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Macseain, ST
• Carly Mahony
• Ramy Mahrous
• Renata Majka, MSW, LCSW
• Samantha Malaykhan
• Rushali Manhas, DO
• Colleen Maniscalco, PT
• Moly Malone Mannix
• Pamela L Manthous, M.D.
• Nancy Marcano, RN

• Mental Health Counselor in Newington, CT
• Providers in Newington, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.