Organization Active NPI

Laura McMahon MD PC

  • Psychiatry Physician
  • Shelby TWP, MI
National Provider Identifier
1114087426
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
LM061738 Issued in MI
Legal business name
LAURA MCMAHON MD PC
Practice address
50505 Schoenherr Rd
Suite 270
Shelby TWP, MI 48315
Phone
(586) 731-4100
Fax
(586) 731-4063
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Authorized official

Name
Dr. Laura McMahon, MDNPI 1003834888
Title
Owner
Phone
(586) 731-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X LM061738 MI Primary

Addresses

Primary practice location

50505 Schoenherr Rd
Suite 270
Shelby TWP, MI 48315

Mailing address

50505 Schoehnerr Rd
Suite 270
Shelby TWP, MI 48315
Phone (586) 731-4100

Other identifiers 2

IdentifierTypeStateIssuer
2605010291OtherMIBCBS
010E028000OtherMIBC/BS

National Provider Directory

National Provider Directory

Locations

35782 Harper Ave
Clinton Twp, MI 48035
Phone (586) 792-4008

50505 Schoenherr Rd
Ste 270
Shelby Township, MI 48315
Phone (586) 263-1234

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1114087426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50505 SCHOEHNERR RD",
            "address_2": "SUITE 270",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "48315",
            "telephone_number": "586-731-4100",
            "fax_number": "586-731-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD",
            "address_2": "SUITE 270",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "48315",
            "telephone_number": "586-731-4100",
            "fax_number": "586-731-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA MCMAHON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-731-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "LM061738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2605010291",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "010E028000",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.