IndividualActive
Amanda Chagolla, PMHNP
NPI 1184237885 · Psychiatric/Mental Health Nurse Practitioner · Taylor, MI
Provider details
- NPI number
- 1184237885
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- No
- License
- APRN.CNP.0027419 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
21415 Goddard Rd
Taylor, MI 48180-4247
Phone: (734) 375-6900
Fax: (734) 398-3737
Approximate (ZIP-level) locationGet directions
Mailing address
21415 Goddard Rd
Taylor, MI 48180-4247
Registry dates
- Enumerated
- 2020-08-24
- Last updated
- 2025-10-22
- Certified
- 2025-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.