Shannon Suzanne Nadene Mangigian

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

130083 Issued in CA

Practice address

4120 Birch St Ste 121
Newport Beach, CA 92660-2228

Phone

(714) 540-9070

NPI assigned

May 26, 2023

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": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1376236331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 BIRCH ST STE 121",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 BIRCH ST STE 121",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602228",
            "telephone_number": "714-540-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGIGIAN",
        "first_name": "SHANNON",
        "middle_name": "SUZANNE NADENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "130083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atashi Mandal, M.D.
• Dan Aviel Mandel, MD
• Emily Mandelstam
• Kaila Maness
• Ripdeep Mangat, M.D.
• Howard T Mango
• Maisoon Mangrio, OT/L
• Patrick James Manion, LMFT, LPCC
• Estelle Mann, PHARMD
• Harpinder Mann

• Marriage & Family Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.