James Angelo Manganello, PH.D.

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

PY3212PR Issued in MA

Practice address

9 Grapevine Ave
Suite 2
Lexington, MA 02421-7062

Phone

(781) 863-0350

Fax

(781) 674-2450

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Charis Center-South, Inc.

  • Mental Health Counselor
  • Middleboro, MA
  • NPI 1467485524
  Medicare reassignment NPD

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851454938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GRAPEVINE AVE",
            "address_2": "SUITE 2",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217062",
            "telephone_number": "781-863-0350",
            "fax_number": "781-674-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 GRAPEVINE AVE",
            "address_2": "SUITE 2",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217062",
            "telephone_number": "781-863-0350",
            "fax_number": "781-674-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGANELLO",
        "first_name": "JAMES",
        "middle_name": "ANGELO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MA",
            "license": "PY3212PR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Woodrow Malwitz
• Hillary Monroe Mamis, RD, LDN
• Kathleen M Manchester, NP
• Brittney Mancini
• Jessica Mandri, BA
• Krista Noel Manickas, D.M.D.
• Erin Manning
• Margaret Mary Manning, PHD
• Theo Clyde Manschreck, MD
• Shanice Manuel

• Health Service Psychologist in Lexington, MA
• Providers in Lexington, MA by specialty
• Health Service Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.