1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Clinical Neuropsychologist
  6. NPI Profile

RYAN MANGUM PHD
NPI 1790311157
Clinical Neuropsychologist in Boise, ID

Active since March 18, 2020PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
600 N ROBBINS RD, BOISE, ID 83702(208) 381-9037 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 29, 2023, Mar 2, 2022, Jul 2, 2020 and 1 more (4 updates tracked since 2020).

About Ryan Mangum Phd NPPES

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

RYAN MANGUM PHD (NPI 1790311157) is an individual clinical neuropsychologist in Boise, Idaho, licensed in Idaho (PSY-203778) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Vancouver.

NPPES Registry Identity

NPI1790311157
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameRYAN MANGUMCredential: PHD
Location Address600 N ROBBINS RDBoise, ID 83702-4565
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 381-9037
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 18, 2020
Last NPPES UpdateMarch 29, 20234 updates tracked since enumeration
NPPES CertifiedMarch 29, 2023
✔ NPI 1790311157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Licenses✔ Licensed in ID · PSY-203778✔ Licensed in WA · PY61070460
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 6301018219 (MI), PY61070460 (WA)
600 N ROBBINS RD, Boise, ID 83702
Open in Google Maps ↗

Secondary Practice Location 1

Location 12009 F StVancouver, WA 98663-3345 · Phone (360) 693-3715 ext. 3

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ryan Mangum Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123441805
PECOS Enrollment IDI20230405002190
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
190 services44 patients
Exam of neurobehavioral status, each additional hour 96121
This procedure involves a thorough evaluation of your neurobehavioral status, focusing on brain functions that affect behavior and cognition. It's extended for an additional hour to gather more detailed information about your neurological health.
45 services42 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
44 services44 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
44 services44 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

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.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.51
Promoting Interoperability100
Improvement Activities40
Cost64.88

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.

KYLE AARON HOLBROOK PT, DPT, NCS
Physical Therapist (Neurology)
600 N ROBBINS RD
BOISE, ID 83702
Ada County (208) 489-4444
ANNA LEORA ROSSE
Occupational Therapist
600 N ROBBINS RD
BOISE, ID 83702
Ada County (208) 489-4444
DUSTIN I JUDD MD
Orthopaedic Surgery (Hand Surgery)
600 N ROBBINS RD, SUITE 100
BOISE, ID 83702
Ada County (208) 383-0201
HOWARD A KING MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
600 N ROBBINS RD, STE 100
BOISE, ID 83702
Ada County (208) 383-0201
HANNAH STEVENSON DPT
Physical Therapist
600 N ROBBINS RD
BOISE, ID 83702
Ada County (208) 385-3268
AMY S WASELCHUK P.A.
Physician Assistant
600 N ROBBINS RD, STE 100
BOISE, ID 83702
Ada County (208) 383-0201
DR. LESLIE ROBERT LEE DPT
Physical Therapist
600 N ROBBINS RD
BOISE, ID 83702
Ada County (208) 489-4640
AMBER GERULF PT, DPT
Physical Therapist
600 N ROBBINS RD
BOISE, ID 83702
Ada County (208) 489-4777

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 Ryan Mangum's NPI number?

The NPI number for Ryan Mangum is 1790311157. It was assigned to this individual provider in the NPPES registry on March 18, 2020.

Where is Ryan Mangum located?

Ryan Mangum practices at 600 N Robbins Rd, Boise, ID 83702. The listed phone number is (208) 381-9037.

What is Ryan Mangum's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Ryan Mangum enrolled in Medicare?

Yes. Ryan Mangum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ryan Mangum accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Ryan Mangum 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.

Is Ryan Mangum affiliated with any hospitals?

According to CMS data, Ryan Mangum is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Ryan Mangum was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.