ELLEN MARY MANEGOLD PHD
NPI 1194376053
Psychologist - Clinical in Grand Rapids, MI

Q: What is Ellen Manegold's NPI number?

The NPI number for Ellen Manegold is 1194376053. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Q: What is Ellen Manegold's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Ellen Manegold was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since September 23, 2019

100/100

CMS Quality Rating

25 MICHIGAN ST NE STE 2200, GRAND RAPIDS, MI 49503(616) 267-2850(616) 267-9024 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2025, Feb 25, 2021, Nov 30, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Ellen Mary Manegold Phd NPPES

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

ELLEN MARY MANEGOLD PHD (NPI 1194376053) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6301018734) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1194376053

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameELLEN MARY MANEGOLDCredential: PHD

Location Address25 MICHIGAN ST NE STE 2200Grand Rapids, MI 49503-2515

Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560

Phone(616) 267-2850

Fax(616) 267-9024

Sole ProprietorNo

Enumeration DateSeptember 23, 2019

Last NPPES UpdateJune 23, 20254 updates tracked since enumeration

NPPES CertifiedJune 23, 2025

✔ NPI 1194376053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301018734

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

25 MICHIGAN ST NE STE 2200, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.54

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 6

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

CHERYL LUKINS M.D.

Anesthesiology

25 MICHIGAN ST NE STE 2200
GRAND RAPIDS, MI 49503

Kent County (616) 391-3245

DR. NICHOLAS WEI M.D.

Student in an Organized Health Care Education/Training Program

25 MICHIGAN ST NE STE 2200, GRAND RAPIDS MEDICAL EDUCATION PARTNERS
GRAND RAPIDS, MI 49503

Kent County (616) 391-3245

ADELLE MCLAIN CADIEUX PHD

Psychologist (Clinical)

25 MICHIGAN ST NE STE 2200
GRAND RAPIDS, MI 49503

Kent County (616) 267-2850

DR. FAROUQ MANJI MB BCH BAO

Student in an Organized Health Care Education/Training Program

25 MICHIGAN ST NE STE 2200
GRAND RAPIDS, MI 49503

Kent County (616) 516-4392

BRITTANY NICOLE BARBER GARCIA

Psychologist (Clinical)

25 MICHIGAN ST NE STE 2200
GRAND RAPIDS, MI 49503

Kent County (616) 267-2850

GRAND RAPIDS MEDICAL EDUCATION PARTNERS

General Acute Care Hospital

25 MICHIGAN ST NE STE 2200
GRAND RAPIDS, MI 49503

Kent County (616) 391-3245

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 Ellen Manegold's NPI number?

The NPI number for Ellen Manegold is 1194376053. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Where is Ellen Manegold located?

Ellen Manegold practices at 25 Michigan St NE Ste 2200, Grand Rapids, MI 49503. The listed phone number is (616) 267-2850.

What is Ellen Manegold's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Ellen Manegold accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Ellen Manegold as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ellen Manegold was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.