MANGATA WELLNESS, INC
NPI 1790419158
Psychologist - Clinical in Salem, OR

Active since July 12, 2022
388 STATE ST STE 704, SALEM, OR 97301(503) 917-9623(503) 919-6050 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mangata Wellness, Inc NPPES

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

MANGATA WELLNESS, INC (NPI 1790419158) is a healthcare organization registered as a clinical in Salem, Oregon and active in the NPI registry since July 2022. The organization lists Lola White, Owner, as its authorized official.

NPPES Registry Identity

NPI1790419158
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMANGATA WELLNESS, INC
Location Address388 STATE ST STE 704Salem, OR 97301-4023
Mailing Address388 State St Ste 704Salem, OR 97301-4023 · (503) 917-9623 · Fax (503) 919-6050
Fax(503) 919-6050
Organization SubpartNo
Authorized OfficialLola WhiteOwner · (503) 917-9623
Enumeration DateJuly 12, 2022
NPPES CertifiedJuly 12, 2022
NPI 1790419158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
388 STATE ST STE 704, Salem, OR 97301

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
388 STATE ST STE 704
SALEM, OR 97301
Counselor (Professional)
388 STATE ST STE 704
SALEM, OR 97301
Psychologist (Clinical)
388 STATE ST STE 704
SALEM, OR 97301

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 Mangata Wellness, Inc's NPI number?

The NPI number for Mangata Wellness, Inc is 1790419158. It was assigned to this organization in the NPPES registry on July 12, 2022.

Where is Mangata Wellness, Inc located?

Mangata Wellness, Inc is located at 388 State St Ste 704, Salem, OR 97301. The listed phone number is (503) 917-9623.

What is Mangata Wellness, Inc's specialty?

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

What insurance does Mangata Wellness, Inc accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Mangata Wellness, Inc 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 Mangata Wellness, Inc was last updated on July 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.