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

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

201150002NP Issued in OR

Practice address

17 SW Frazer Ave
Suite # 242
Pendleton, OR 97801-2163

Phone

(541) 278-1850

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• S Mangnall-Harris, PSYD, Pmhnp, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hermiston, OR
  • NPI 1114297678
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1508927880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SW FRAZER AVE",
            "address_2": "SUITE # 242",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012163",
            "telephone_number": "541-278-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SW FRAZER AVE",
            "address_2": "SUITE # 242",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012163",
            "telephone_number": "541-278-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGNALL-HARRIS",
        "first_name": "SUSAN",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "L.C.S.W., PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L2094",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201150002NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danny Madore
• Amy R Madrigal-Bates
• Tara Mahoney, CADC II
• Tracey Estelle Mahr, CRM
• Joann Faye Malumaleumu
• Katherine Marie Manning Stahl, R.D.H.
• Lillian E Maresca, MD
• Daniel L. Marier, MD
• Gene J Marker, QMHA
• Savannah Kaye Marker, MS

• Psychiatric/Mental Health Nurse Practitioner in Pendleton, OR
• Providers in Pendleton, 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 Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.