Individual provider · Type 1 NPI
Micaela Manganello
Addiction Medicine (Preventive Medicine) Physician · South Portland, ME
NPI number
1063384907
Active
Practice location
400 Western Ave
South Portland, ME 04106-1704
Mailing address
50 Adams St Apt 1
Biddeford, ME 04005-2995
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Preventive Medicine) Physician Primary | 2083A0300X | RN72898 (ME) |
Addiction Medicine (Preventive Medicine) Physician: 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.
39 other providers at this address
- Alexander Foster Milliken, LADCAddiction (Substance Use Disorder) Counselor South Portland, ME NPI 1487994778
- Amanda NeptuneAddiction (Substance Use Disorder) Counselor South Portland, ME NPI 1427476779
- Amethyst Hubbard, LADCAddiction (Substance Use Disorder) Counselor South Portland, ME NPI 1932814233
- Brianna Gullatt, RNAddiction (Substance Use Disorder) Registered Nurse South Portland, ME NPI 1588370613
- Brianna Wiederhold, CADCAddiction (Substance Use Disorder) Counselor South Portland, ME NPI 1033916531
- Brittany Downs Campbell, RNAddiction (Substance Use Disorder) Registered Nurse South Portland, ME NPI 1639093362
- Camille Ann WoodardAddiction (Substance Use Disorder) Counselor South Portland, ME NPI 1558906289
- Christina A. Carpenter, LPNLicensed Practical Nurse South Portland, ME NPI 1578299541
- Christina Marie Bohurjak, RNAddiction (Substance Use Disorder) Registered Nurse South Portland, ME NPI 1558096255
- Crystale Lynne Ross, CADCAddiction (Substance Use Disorder) Counselor South Portland, ME NPI 1427938158
- Danielle Janet MilovanovicAddiction Medicine (Family Medicine) Physician South Portland, ME NPI 1104707082
- Emery James Wilson, ADCAAddiction (Substance Use Disorder) Counselor South Portland, ME NPI 1740903962
About NPI 1063384907
Micaela Manganello's National Provider Identifier is 1063384907, issued on Sep 20, 2025. The primary taxonomy on file is Addiction Medicine (Preventive Medicine) Physician (2083A0300X), and the practice location is in South Portland, ME. The record was last updated on Sep 20, 2025.