Individual provider Active NPI

Manjit Sangha, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Allen, VA
National Provider Identifier
1447661871
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024184732 Issued in VA
Practice address
11551 Nuckols Rd Ste P
Glen Allen, VA 23059-5565
Phone
(804) 593-5935
NPI assigned
May 20, 2014
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024184732 VA Primary
Registered Nurse 163W00000X 0001184299 VA

Addresses

Primary practice location

11551 Nuckols Rd Ste P
Glen Allen, VA 23059-5565

Mailing address

11551 Nuckols Rd Ste P
Glen Allen, VA 23059-5565
Phone (804) 593-5935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221028001825 VA Practitioner - Nurse Practitioner 7214304500 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bright Integrative CareGroup PAC ID 1759730583, 2 clinicians
Radiant Minds Psychiatry, LLCGroup PAC ID 7113422627, 2 clinicians

Practice addresses (Care Compare)

11551 Nuckols Rd
Suite P
Glen Allen, VA 23059-5565
Phone 92945611201325

12199 Gayton Rd
Henrico, VA 23238-3201
Phone (804) 496-2113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001184299VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Radiant Minds Psychiatry, LLC CurrentSince Jun 19, 2025 Accepting new patients
Radiant Minds Psychiatry, LLC Current Accepting new patients
Virginia South Psychiatric & Family Services CurrentSince Aug 19, 2022 Accepting new patients
Bright Integrative Care CurrentSince Oct 28, 2023 Accepting new patients
Global Healthcare Services, LLC Registered Nurse Past Accepting new patients
Three Rivers Treatment Center LLC Past Accepting new patients

Locations

11551 Nuckols Rd
Ste P
Glen Allen, VA 23059
Phone (804) 593-5935

13901 Coalfield Commons Pl
Ste 102
Midlothian, VA 23114
Phone (804) 378-0800

269 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 861-0700

12199 Gayton Rd
Richmond, VA 23238
Phone (804) 496-2113

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72142

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1447661871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11551 NUCKOLS RD STE P",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595565",
            "telephone_number": "804-593-5935",
            "fax_number": "804-593-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11551 NUCKOLS RD STE P",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595565",
            "telephone_number": "804-593-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGHA",
        "first_name": "MANJIT",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024184732",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001184299",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.