Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellen Mary Manegold, PHD

Individual provider Clinical Psychologist · NPI 1194376053

Ellen Mary Manegold, PHD is a Clinical Psychologist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

25 Michigan St NE Ste 2200
Grand Rapids, MI 49503-2515
Phone: (616) 267-2850
Fax: (616) 267-9024
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301018734 (MI)

Record details

NPI number1194376053
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedSeptember 23, 2019
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560

Other providers in Grand Rapids