Elaine L. Mahoney, RNC

Key facts

NPI

1053485474

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

184813 (MA)

Practice address

206 Milford St
Upton, MA 01568-1309

Phone

(508) 529-7000

Fax

(508) 529-7024

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053485474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 PROVIDENCE RD",
            "city": "NORTHBRIDGE",
            "state": "MA",
            "postal_code": "015341040",
            "telephone_number": "508-234-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 MILFORD ST",
            "city": "UPTON",
            "state": "MA",
            "postal_code": "015681309",
            "telephone_number": "508-529-7000",
            "fax_number": "508-529-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "ELAINE",
        "middle_name": "L.",
        "credential": "RNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "184813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Upton, MA · Mental Health Counselor in Massachusetts