S Mangnall-Harris, PSYD, Pmhnp, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

201150002NP Issued in OR

Legal business name

S MANGNALL-HARRIS, PSYD, PMHNP, LLC

Practice address

955 W Orchard Ave
Hermiston, OR 97838-1591

Phone

(541) 289-0955

Fax

(541) 289-0956

NPI assigned

Dec 30, 2011

Last updated

Dec 30, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Susan Z Mangnall-Harris, PMHNPNPI 1508927880

Title

Owner

Phone

(541) 289-0955

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Z Mangnall-Harris, L.C.S.W., PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pendleton, OR
  • NPI 1508927880
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1114297678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 154",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978380154",
            "telephone_number": "541-289-0955",
            "fax_number": "541-289-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 W ORCHARD AVE",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978381591",
            "telephone_number": "541-289-0955",
            "fax_number": "541-289-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S MANGNALL-HARRIS, PSYD, PMHNP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "MANGNALL-HARRIS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-289-0955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201150002NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ateusa Z Salemi, RN
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• Ravinder Samra, MD
• Dawn Samson, LMT

• Psychiatric/Mental Health Nurse Practitioner in Hermiston, OR
• Providers in Hermiston, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.