Individual provider Active NPI

Briana Mangan, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Elyria, OH
National Provider Identifier
1417848979
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0039659 Issued in OH
Practice address
2100 N Ridge Rd
Elyria, OH 44035-1241
Phone
(440) 324-1300
Fax
(440) 277-0409
NPI assigned
Jul 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0039659 OH Primary

Addresses

Primary practice location

2100 N Ridge Rd
Elyria, OH 44035-1241

Mailing address

2100 N Ridge Rd
Elyria, OH 44035-1241
Phone (440) 324-1300

Other practice location 1

3518 W 25th St
Cleveland, OH 44109-1951
Phone (216) 741-2241

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
APRN.CNP.0039659OHMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1417848979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N RIDGE RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351241",
            "telephone_number": "440-324-1300",
            "fax_number": "440-277-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N RIDGE RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351241",
            "telephone_number": "440-324-1300",
            "fax_number": "440-277-0409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3518 W 25th St",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441091951",
            "country_code": "US",
            "telephone_number": "216-741-2241",
            "fax_number": "216-739-3638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGAN",
        "first_name": "BRIANA",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0039659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.