Justin Scott Mangum, - Psychologist in Pasadena, CA

Justin Scott Mangum, is a Psychologist based in Pasadena, California. Justin Scott Mangum is licensed to practice in * (Not Available) (license number ) and his current practice location is 940 Avenue 64, Pasadena, California. He can be reached at his office (for appointments etc.) via phone at (323) 254-2274.

NPI number for Justin Scott Mangum is 1023132123 and his current mailing address is 940 Avenue 64, Pasadena, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023132123.

Contact Information

Justin Scott Mangum,
940 Avenue 64,
Pasadena, CA 91105-2711
(323) 254-2274
Not Available



Healthcare Provider's Profile

Full NameJustin Scott Mangum
GenderMale
SpecialityPsychologist
Location940 Avenue 64, Pasadena, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023132123
  • Provider Enumeration Date: 03/16/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Justin Scott Mangum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023132123NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Justin Scott Mangum is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Justin Scott Mangum,
940 Avenue 64,
Pasadena, CA 91105-2711

Ph: (323) 254-2274
Justin Scott Mangum,
940 Avenue 64,
Pasadena, CA 91105-2711

Ph: (323) 254-2274

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› Verified 6 days ago


Psychologist in Pasadena, CA

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