Kristin R Mangum, PH D is a
Psychologist - Clinical based in Rancho Mission Viejo, California. Kristin R Mangum is licensed to practice in California (license number PSY28136) and her current practice location is
17 Cadencia St, Rancho Mission Viejo, California. She can be reached at her office (for appointments etc.) via phone at
(469) 396-9146.
NPI number for Kristin R Mangum is 1548285216 and her current mailing address is 17 Cadencia St, Rancho Mission Viejo, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548285216.
Healthcare Provider's Profile
Full Name | Kristin R Mangum |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 17 Cadencia St, Rancho Mission Viejo, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548285216
- Provider Enumeration Date: 07/13/2006
- Last Update Date: 11/13/2017
Medical Identifiers
Medical identifiers for Kristin R Mangum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548285216 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PSY28136 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristin R Mangum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kristin R Mangum, PH D 17 Cadencia St, Rancho Mission Viejo, CA 92694-1296 Ph: (469) 396-9146 | Kristin R Mangum, PH D 17 Cadencia St, Rancho Mission Viejo, CA 92694-1296 Ph: (469) 396-9146 |
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