Mangata Wellness, Inc
NPI 1790419158 · Clinical Psychologist · Salem, OR
Mangata Wellness, Inc is a Clinical Psychologist organization in Salem, OR (NPI 1790419158).
Provider details
- NPI number
- 1790419158
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lola White, Owner(503) 917-9623
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Group Psychotherapy Psychologist103TP2701X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2022-07-12
- Last updated
- 2022-07-12
- Certified
- 2022-07-12
Frequently asked questions
- What is Mangata Wellness, Inc's NPI number?
- Mangata Wellness, Inc's National Provider Identifier (NPI) is 1790419158, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mangata Wellness, Inc?
- Mangata Wellness, Inc is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Mangata Wellness, Inc located?
- Mangata Wellness, Inc's practice location on file with NPPES is 388 State St Ste 704, Salem, OR 97301-4023.
- What is Mangata Wellness, Inc's phone number?
- The practice phone number listed in the NPPES registry for Mangata Wellness, Inc is (503) 917-9623.
- Who is the authorized official for Mangata Wellness, Inc?
- The authorized official listed on Mangata Wellness, Inc's NPPES record is Lola White, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mangata Wellness, Inc's NPI active?
- Yes — Mangata Wellness, Inc's NPI (1790419158) is active in the NPPES registry as of the last update on 2022-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.