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DR. MARY JANE MANGEN MD
NPI 1205882263
Psychiatry & Neurology - Child & Adolescent Psychiatry in Wauseon, OH

Active since May 25, 2006
725 S SHOOP AVE, WAUSEON, OH 43567(419) 335-2015(419) 330-2774 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mary Jane Mangen Md NPPES

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

DR. MARY JANE MANGEN MD (NPI 1205882263) is an individual child & adolescent psychiatry provider in Wauseon, Ohio, licensed in Ohio (35058814) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1205882263
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. MARY JANE MANGENCredential: MD
Location Address725 S SHOOP AVEWauseon, OH 43567-1702
Mailing Address725 S Shoop AveWauseon, OH 43567-1702 · (419) 335-2015 · Fax (419) 330-2774
Phone(419) 335-2015
Fax(419) 330-2774
Sole ProprietorNo
Enumeration DateMay 25, 2006
Last NPPES UpdateJuly 28, 2016
✔ NPI 1205882263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in OH · 35058814
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
725 S SHOOP AVE, Wauseon, OH 43567
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Other Identifiers 3

Medicare UPINF38304
Medicaid0860733OH
Medicare PIN0725142OH

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.

MIQUIABAS, INC.
Pathology (Anatomic Pathology & Clinical Pathology)
725 S SHOOP AVE
WAUSEON, OH 43567
Fulton County (419) 335-2015
ERICA ELLING PT, DPT
Physical Therapist
725 S SHOOP AVE
WAUSEON, OH 43567
Fulton County (419) 335-1919
MRS. ROSEMARY ANN FISHER RN, NP
Nurse Practitioner (Psychiatric/Mental Health)
725 S SHOOP AVE
WAUSEON, OH 43567
Fulton County (419) 335-2015
BROOKE J KLEEBERGER LISW
Social Worker
725 S SHOOP AVE
WAUSEON, OH 43567
Fulton County (419) 330-2790
MICHAEL J POLE M.D.
Radiology (Diagnostic Radiology)
725 S SHOOP AVE
WAUSEON, OH 43567
Fulton County (419) 335-2015
ROWLAND J. RIVERO DO
Family Medicine
725 S SHOOP AVE
WAUSEON, OH 43567
Fulton County (419) 330-2603
JUSTIN M SAUDER CRNA
Nurse Anesthetist, Certified Registered
725 S SHOOP AVE
WAUSEON, OH 43567
Fulton County (419) 335-2015
JOHN N KAMAU MD
Emergency Medicine
725 S SHOOP AVE
WAUSEON, OH 43567
Fulton County (419) 330-2605

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 Mary Mangen's NPI number?

The NPI number for Mary Mangen is 1205882263. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Mary Mangen located?

Mary Mangen practices at 725 S Shoop Ave, Wauseon, OH 43567. The listed phone number is (419) 335-2015.

What is Mary Mangen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Mary Mangen was last updated on July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.