Monica Manley, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10026613 Issued in OR

Practice address

24499 SW Grahams Ferry Rd
Wilsonville, OR 97070-7523

Phone

(503) 570-6400

NPI assigned

Oct 3, 2024

Sex

Female

Sole proprietor

No

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": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1770302176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PROSPECT ST APT B101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095633",
            "telephone_number": "314-599-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24499 SW GRAHAMS FERRY RD",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970707523",
            "telephone_number": "503-570-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "MONICA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10026613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Maccombie, OTR/L
• Mack S Johnsen DMD PC
• Sarah Macomber, PT
• Katy R Maguire, OTD
• Joana Serrano Mallari
• Isabella Rose Mansley, DPT
• Margaret a Boone DMD PC
• Melissa Markovich
• Marquis Companies I, Inc
• Marquis Companies II, Inc.

• Psychiatric/Mental Health Nurse Practitioner in Wilsonville, OR
• Providers in Wilsonville, 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 Oct 3, 2024; 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.