Mariae Mang

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-14169 Issued in OH

Practice address

1350 Alum Creek Dr
Columbus, OH 43209-2705

Phone

(614) 262-7520

NPI assigned

Jan 21, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1255083143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WARLOCK CT",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 ALUM CREEK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432092705",
            "telephone_number": "614-262-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANG",
        "first_name": "MARIAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP-14169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Mandrell, APRN-CNP
• Eva Mandybur
• Princely Manene
• Taylor Manes, DO
• Macala Maney, MD
• Kaitlyn Mangan
• Manvir Mangat, MD
• Cory Mangen, OTD, OTR/L
• Jennifer Mangen, CNP
• Nancy Mangini, OTR/L

• Speech-Language Pathologist in Columbus, OH
• Providers in Columbus, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.