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DR. SUSAN MANGANO DNP PMHNP BOARD CERT NPI 1598200701


NPI Information

NPI: 1598200701
Provider Name: DR. SUSAN MANGANO, DNP PMHNP BOARD CERT
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: EDWARD HEALTH VENTURES

PECOS Registration: Yes

Address:
1335 N MILL ST
SUITE 100
NAPERVILLE, IL
ZIP 60563
Phone: (630) 404-3302
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DR. Susan Mangano, DNP PMHNP BOARD CERT is a psychiatric/mental health nurse practitioner in Naperville, IL with 8 years of experience. DR. Susan Mangano, DNP PMHNP BOARD CERT NPI is 1598200701. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year:2016

The provider's business location address is:

1335 N MILL ST
SUITE 100
NAPERVILLE, IL
ZIP 60563-261
Phone: (630) 404-3302
Fax: (630) 646-6007

The NPI 1598200701 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/23/2016 and was last updated on 12/21/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0808XNurse PractitionerPsychiatric/Mental Health209015356ILLINOISYes
2363LP0808XNurse PractitionerPsychiatric/Mental Health309010767ILLINOISNo

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.