Individual provider Active NPI

Angelina Manga, HHA

  • Psychiatric/Mental Health Nurse Practitioner
  • Berwyn Heights, MD
National Provider Identifier
1083974786
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP1047443 Issued in DC
Practice address
6201 Greenbelt Rd Ste M6
Berwyn Heights, MD 20740-2358
Phone
(240) 550-6035
Fax
(301) 972-0901
NPI assigned
May 29, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN1047443DCMDRegistered Nurse
NP1047443DCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ginaped Health Care Services Current Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEIJDD/Endpoint/EEIJDD

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Home Health Aide 374U00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X NP1047443 DC Primary
Registered Nurse 163W00000X RN1047443 DC

Addresses

NPPES NPI Registry

Primary practice location

6201 Greenbelt Rd Ste M6
Berwyn Heights, MD 20740-2358

Mailing address

7001 96TH Ave
Lanham, MD 20706-3615
Phone (202) 545-0935

Other practice location 1

300 Wingfoot Ct
Accokeek, MD 20607-3374
Phone (301) 793-4596

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2026.

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1083974786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 96TH AVE",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063615",
            "telephone_number": "202-545-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 GREENBELT RD STE M6",
            "city": "BERWYN HEIGHTS",
            "state": "MD",
            "postal_code": "207402358",
            "telephone_number": "240-550-6035",
            "fax_number": "301-972-0901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Wingfoot Ct",
            "address_purpose": "LOCATION",
            "city": "Accokeek",
            "state": "MD",
            "postal_code": "206073374",
            "country_code": "US",
            "telephone_number": "301-793-4596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGA",
        "first_name": "ANGELINA",
        "credential": "HHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1047443",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1047443",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.