Individual provider Active NPI

Clare Jocelyn Perez Mangubat, MSN, PMHNP-BC

  • Registered Nurse
  • Philadelphia, PA
National Provider Identifier
1861396251
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN10033978 Issued in MA
Practice address
1900 W Olney Ave
Philadelphia, PA 19141-1199
Phone
(215) 951-1000
NPI assigned
Oct 7, 2026
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X L1-0075380 DE
Registered Nurse 163W00000X RN752634 PA
Registered Nurse 163W00000X RN10033978 MA Primary

Addresses

Primary practice location

1900 W Olney Ave
Philadelphia, PA 19141-1199

Mailing address

1900 W Olney Ave
Philadelphia, PA 19141-1199
Phone (215) 951-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1861396251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W OLNEY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191411199",
            "telephone_number": "215-951-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W OLNEY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191411199",
            "telephone_number": "215-951-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUBAT",
        "first_name": "CLARE JOCELYN",
        "middle_name": "PEREZ",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0075380",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN752634",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN10033978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.