MS. SARA LYNN MANGANELLO NPI 1053068676

NPI Information

  • NPI: 1053068676
  • Provider Name: MS. SARA LYNN MANGANELLO
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 11 CHAPLIN ST
    NEWINGTON, CT
    ZIP 06111
  • Phone: (860) 970-4173

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NPI Details

MS. Sara Lynn Manganello is a mental health counselor in Newington, CT. MS. Sara Lynn Manganello NPI is 1053068676. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11 CHAPLIN ST
NEWINGTON, CT
ZIP 06111-208
Phone: (860) 970-4173

The enumeration date for this NPI number is 3/3/2022 and was last updated on 3/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1102375306MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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