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

Micaela Manganello

Individual provider Addiction Medicine (Preventive Medicine) Physician · NPI 1063384907

Micaela Manganello is an Addiction Medicine (Preventive Medicine) Physician in South Portland, Maine. Licensed in Maine. Registered with an NPI since 2025.

Licensed in
ME
In the registry since
2025

Practice location Address checks out

400 Western Ave
South Portland, ME 04106-1704
Phone: (207) 292-1306
Show map & directions

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

Specialties & licences

Addiction Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083A0300X · Licence RN72898 (ME)

Record details

NPI number1063384907
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 20, 2025
Last updated in NPPESSeptember 20, 2025
Certification dateSeptember 20, 2025

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