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

Omar Mangrum, EDD

Individual provider Psychologist · NPI 1457389157

Omar Mangrum, EDD is a Psychologist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

161 Ottawa Ave NW Ste 300C
Grand Rapids, MI 49503-2701
Phone: (616) 458-0692
Fax: (616) 458-8129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6301005399 (MI)

Record details

NPI number1457389157
Entity typeIndividual (Type 1)
GenderMale
Credentials EDD
Sole proprietorNo
NPI enumeratedJune 29, 2006
Last updated in NPPESJuly 8, 2007

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