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MICAELA MANGANELLO
NPI 1063384907
Preventive Medicine - Addiction Medicine in South Portland, ME

Active since September 20, 2025
400 WESTERN AVE, SOUTH PORTLAND, ME 04106(207) 292-1306 Get Directions Write a Review

NPPES record last updated: September 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Micaela Manganello NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICAELA MANGANELLO (NPI 1063384907) is an individual addiction medicine provider in South Portland, Maine, licensed in Maine (RN72898) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1063384907
Entity TypeIndividualFemale
Primary Taxonomy2083A0300X
Provider Legal NameMICAELA MANGANELLO
Location Address400 WESTERN AVESouth Portland, ME 04106-1704
Mailing Address50 Adams St Apt 1Biddeford, ME 04005-2995
Phone(207) 292-1306
Sole ProprietorNo
Enumeration DateSeptember 20, 2025
NPPES CertifiedSeptember 20, 2025
✔ NPI 1063384907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
License✔ Licensed in ME · RN72898
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
400 WESTERN AVE, South Portland, ME 04106
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RONALDO ROSA
Case Manager/Care Coordinator
400 WESTERN AVE
SOUTH PORTLAND, ME 04106
Cumberland County (207) 292-1306
BRIANNA WIEDERHOLD CADC
Counselor (Addiction (Substance Use Disorder))
400 WESTERN AVE
SOUTH PORTLAND, ME 04106
Cumberland County (207) 774-7111
JULIE WYONA VECCHIO CCS, LADC
Counselor (Addiction (Substance Use Disorder))
400 WESTERN AVE
SOUTH PORTLAND, ME 04106
Cumberland County (207) 774-7111
LISA ANN HODGKINS I CADC,MHRT-C
Counselor (Addiction (Substance Use Disorder))
400 WESTERN AVE
SOUTH PORTLAND, ME 04106
Cumberland County (207) 774-7111
DR. JOSEPH PY D.O.
Family Medicine (Addiction Medicine)
400 WESTERN AVE
SOUTH PORTLAND, ME 04106
Cumberland County (207) 774-7111
ERIN GARTHWAITE RN
Registered Nurse (Addiction (Substance Use Disorder))
400 WESTERN AVE
SOUTH PORTLAND, ME 04106
Cumberland County (207) 774-7111
DANIELLE JANET MILOVANOVIC
Family Medicine (Addiction Medicine)
400 WESTERN AVE
SOUTH PORTLAND, ME 04106
Cumberland County (207) 114-7111
HEATHER LEE LABBE
Registered Nurse
400 WESTERN AVE
SOUTH PORTLAND, ME 04106
Cumberland County (207) 774-7111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Micaela Manganello's NPI number?

The NPI number for Micaela Manganello is 1063384907. It was assigned to this individual provider in the NPPES registry on September 20, 2025.

Where is Micaela Manganello located?

Micaela Manganello practices at 400 Western Ave, South Portland, ME 04106. The listed phone number is (207) 292-1306.

What is Micaela Manganello's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

When was this NPI record last updated?

The NPPES record for Micaela Manganello was last updated on September 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.