Active NPI
Joseph Michael Mahoney, PHD
- School Psychologist
- Bedford, NH
National Provider Identifier
1104594241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 129298
- Practice address
- 103 County Rd
Bedford, NH 03110-6202 - Phone
- (603) 310-9100
- NPI assigned
- Sep 2, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 129298 | NH | Primary |
Addresses
Primary practice location
103 County Rd
Bedford, NH 03110-6202
Mailing address
50 Sentinel CT Apt 309
Manchester, NH 03103-4583
Phone (774) 364-5946
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129298 | NH | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1104594241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 SENTINEL CT APT 309",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031034583",
"telephone_number": "774-364-5946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 COUNTY RD",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106202",
"telephone_number": "603-310-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHONEY",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-02",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NH",
"license": "129298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.