What is Omar Mangrum's NPI number?

Omar Mangrum's National Provider Identifier (NPI) is 1457389157, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Omar Mangrum's specialty?

Omar Mangrum is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).

Where is Omar Mangrum located?

Omar Mangrum's practice location on file with NPPES is 161 Ottawa Ave Nw, Grand Rapids, MI 49503-2701.

What is Omar Mangrum's phone number?

The practice phone number listed in the NPPES registry for Omar Mangrum is (616) 458-0692.

Is Omar Mangrum's NPI active?

Yes — Omar Mangrum's NPI (1457389157) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Omar Mangrum, EDD

NPI 1457389157 · Psychologist · Grand Rapids, MI

Omar Mangrum, EDD is a Psychologist provider in Grand Rapids, MI (NPI 1457389157).

Provider details

NPI number: 1457389157
Entity type: Individual
Primary specialty: PsychologistBehavioral Health & Social Service Providers
Credential: EDD
Sex: Male
Sole proprietor: No
License: 6301005399 (MI)

Specialties & taxonomies

PsychologistPrimary103T00000XLicense 6301005399 (MI)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

161 Ottawa Ave Nw

Suite 300c

Grand Rapids, MI 49503-2701

Phone: (616) 458-0692

Fax: (616) 458-8129

Approximate (ZIP-level) locationGet directions

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Mailing address