Individual provider Active NPI

Cori E McMahon, PSYD

  • Addiction Psychiatry Physician
  • Camden, NJ
National Provider Identifier
1104054675
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
35SI00475300 Issued in NJ
Practice address
3 Cooper PLZ RM 513
Camden, NJ 08103
Phone
(856) 963-3715
NPI assigned
Jun 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS016624 PA
Addiction Psychiatry Physician 2084P0802X 35SI00475300 NJ Primary

Addresses

Primary practice location

3 Cooper PLZ RM 513
Camden, NJ 08103

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 382-6530

Other practice location 1

900 Centennial Blvd
Suite M
Voorhees, NJ 08043-4689
Phone (856) 673-4215

Other practice location 2

900 Centennial Blvd
Suite M
Voorhees, NJ 08043-4689
Phone (856) 673-4215

Other identifiers 2

IdentifierTypeStateIssuer
PS016624OtherPAPA LICENSE
35DI00475300OtherNJSTATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130711000351 NJ Practitioner - Clinical Psychologist 5496932782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CMC Department of Medicine Group PAGroup PAC ID 2163335878, shared by 5 NPIs, 474 clinicians

Practice addresses (Care Compare)

900 Centennial Blvd
Suite M
Voorhees, NJ 08043-4637
Phone (856) 325-6750

900 Centennial Blvd M
Voorhees, NJ 08043-4637
Phone (856) 325-6750

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100Reported as group
Quality
88.78
Promoting interoperability
99
Improvement activities
40
Cost
74.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS016624PAMDPsychologist
35SI00475300NJMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Department of Medicine Group PA CurrentSince Apr 21, 2024 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Mar 23, 2013 Accepting new patients

Locations

3 Cooper Plz
Rm 513
Camden, NJ 08103
Phone (856) 963-3518

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

3 Cooper Plz
Rm 311
Camden, NJ 08103
Phone (856) 342-2034

900 Centennial Blvd
Ste M
Voorhees, NJ 08043
Phone (856) 325-6750

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1104054675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-382-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ RM 513",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08103",
            "telephone_number": "856-963-3715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Centennial Blvd",
            "address_2": "Suite M",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080434689",
            "country_code": "US",
            "telephone_number": "856-673-4215",
            "fax_number": "856-673-4286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Centennial Blvd",
            "address_2": "Suite M",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080434689",
            "country_code": "US",
            "telephone_number": "856-673-4215",
            "fax_number": "856-673-4286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "CORI",
        "middle_name": "E",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016624",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NJ",
            "license": "35SI00475300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "PS016624",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "35DI00475300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.