NICOLE M MANGUM (PHD) – Psychologist, NPI 1790727451
Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,347 CLINICAL PSYCHOLOGIST in TX
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Provider Addresses for NICOLE M MANGUM (PHD)
10355 TEXAS HIGHWAY 154 S
YANTIS, TX 754977475
Phone: (214) 692-6686
Fax: (469) 587-8439
Type: Mailing
7557, Rambler Road, Vickery Meadows PID, Dallas, Dallas County, Texas, 75231, United States
SUITE 740
DALLAS, TX 752314142
Phone: (214) 361-2100
Fax: (214) 361-2145
Type: Location
P.O. BOX 537
SULPHUR SPRINGS, TX 754830537
Phone: (214) 361-2100
Fax: (214) 361-2145
Type: Mailing
8390 LBJ FREEWAY
SUITE 1000
DALLAS, TX 752431288
Phone: (214) 361-2100
Fax: (214) 361-2145
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-02-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150211000744 | I | Clinical Psychologist | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96139 | Administration of psychological or neuropsychological test by technician, each additional 30 minutes | 1,668 | 72 | $0 |
| 96133 | Evaluation of neuropsychological test, each additional hour | 429 | 72 | $0 |
| 96138 | Administration of psychological or neuropsychological test by technician, first 30 minutes | 200 | 72 | $0 |
| 96121 | Exam of neurobehavioral status, each additional hour | 198 | 72 | $0 |
| 96132 | Evaluation of neuropsychological test, first hour | 133 | 72 | $0 |
Insurance plans in this area (ZIP 75497)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | TX | |
| Mental Health Counselor | VA | |
| Mental Health Counselor | TX | |
| Clinical Psychologist | TX | |
| Clinical Social Worker | TX |
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