MICAELA MANGANELLO – NPI #1063384907
Preventive Medicine

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.

MICAELA MANGANELLO is a physician located in SOUTH PORTLAND, ME. NPPES has assigned the NPI number 1063384907 to MICAELA MANGANELLO on September 20, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2083A0300X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Addiction Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICAELA MANGANELLO below.

NPI Profile for
MICAELA MANGANELLO

NPI Number
1063384907
Enumeration Date

(about 9 months ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MICAELA MANGANELLO
Primary location
400 WESTERN AVE
SOUTH PORTLAND, ME 04106-1704
Phone: (207) 292-1306 Fax:
Mailing address
50 ADAMS ST APT 1
BIDDEFORD, ME 04005-2995
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Sep 20, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083A0300X
- Preventive Medicine / Addiction Medicine (Primary)
ME RN72898

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.