Individual provider Active NPI

Manisha Kalaga, DO

  • Psychiatry Physician
  • Lehighton, PA
National Provider Identifier
1851033138
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OT022040 Issued in PA
Practice address
211 N 12TH St
Lehighton, PA 18235-1138
Phone
(866) 785-8537
NPI assigned
Apr 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X OT022040 PA Primary

Addresses

Primary practice location

211 N 12TH St
Lehighton, PA 18235-1138

Mailing address

211 N 12TH St
Lehighton, PA 18235-1138
Phone (402) 889-9866

Other practice location 1

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (866) 785-8537

Other practice location 2

360 W Ruddle St
Coaldale, PA 18218-1027
Phone (866) 785-8537

Other practice location 3

5300 Kidspeace Dr
Orefield, PA 18069-2098
Phone (800) 854-8123

Other practice location 4

421 Chew St
Allentown, PA 18102-3406
Phone (866) 785-8537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220711001470 PA Order and Referring Only - PsychiatryPractitioner - Psychiatry 7618357468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OT022040PAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1851033138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N 12TH ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351138",
            "telephone_number": "402-889-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N 12TH ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351138",
            "telephone_number": "866-785-8537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Ostrum St",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180151000",
            "country_code": "US",
            "telephone_number": "866-785-8537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 W Ruddle St",
            "address_purpose": "LOCATION",
            "city": "Coaldale",
            "state": "PA",
            "postal_code": "182181027",
            "country_code": "US",
            "telephone_number": "866-785-8537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5300 Kidspeace Dr",
            "address_purpose": "LOCATION",
            "city": "Orefield",
            "state": "PA",
            "postal_code": "180692098",
            "country_code": "US",
            "telephone_number": "800-854-8123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 Chew St",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181023406",
            "country_code": "US",
            "telephone_number": "866-785-8537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALAGA",
        "first_name": "MANISHA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OT022040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

Verify at the official NPI Registry.