Michael William Mangis, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

106 W Pierce St
Elburn, IL 60119-8201

Phone

(630) 365-0899

Fax

(630) 365-9150

NPI assigned

Aug 23, 2005

Last updated

Jan 31, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Rural Psychology

  dba Heartland Counseling

  • Voluntary or Charitable Agency
  • Elburn, IL
  • NPI 1356451009
  NPD (past) Authorized official
• Foroutan & Associates SC

  • Psychiatry Physician
  • Sycamore, IL
  • NPI 1063445476
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1063405249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W PIERCE ST",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601198201",
            "telephone_number": "630-365-0899",
            "fax_number": "630-365-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W PIERCE ST",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601198201",
            "telephone_number": "630-365-0899",
            "fax_number": "630-365-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGIS",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Lynn Kelley, DC
• Lisa Ann Kelly, SLP
• Harry F Krauspe, DDS
• Tessa Mackenzie Lee, M.ED
• Kayla E Lehman, RDN, LDN
• Laura S Medlin, M.A.
• Erika Kristin Mennerick, DC
• Michael Schuiling DDS PLLC (Blackberry Dental)
• Miranda Lyn Middona, LCSW
• Marion Jean Miller, R.N.

• Psychologist in Elburn, IL
• Providers in Elburn, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.