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

Nicole M Mangum, PHD

Individual provider Clinical Neuropsychologist · NPI 1790727451

Nicole M Mangum, PHD is a Clinical Psychologist in Dallas, Texas. Qualified in 2005, 21 years ago. Practices with Health Psychology Center, a 7-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
21
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

8390 Lbj Fwy Ste 1000
Dallas, TX 75243-1288
Phone: (214) 361-2100
Fax: (214) 361-2145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 33427 (TX)

Record details

NPI number1790727451
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 10, 2006
Last updated in NPPESOctober 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Health Psychology Center — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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