Susan F Mahoney Pmhcns Psychiatric/Mental Health Care LLC

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

Legal business name

SUSAN F MAHONEY PMHCNS PSYCHIATRIC/MENTAL HEALTH CARE LLC

Doing business as

Susan F Mahoney PMHCNS

Practice address

259 Massachusetts Ave FL 3
Arlington, MA 02474-8406

Phone

(781) 223-1663

NPI assigned

Oct 2, 2023

Organization subpart

No

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

Authorized official

Name

Susan Fay Mahoney, PMHCNS-BCNPI 1093928806

Title

Clinical Nurse Specialist

Phone

(781) 223-1663

Specialties & licenses 1

Addresses

Other names 1

• Susan F Mahoney PMHCNS Doing business as

Locations

Practitioners 1

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

• Susan Fay Mahoney, APRN, BC

  • Adult Psychiatric/Mental Health Registered Nurse
  • Medford, MA
  • NPI 1093928806
  NPD Authorized official

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1114707841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 UNION ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762207",
            "telephone_number": "781-223-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 MASSACHUSETTS AVE FL 3",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024748406",
            "telephone_number": "781-223-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN F MAHONEY PMHCNS PSYCHIATRIC/MENTAL HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-09-30",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "FAY",
        "authorized_official_title_or_position": "CLINICAL NURSE SPECIALIST",
        "authorized_official_telephone_number": "781-223-1663",
        "authorized_official_credential": "PMHCNS-BC"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan F Mahoney PMHCNS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Arlington, MA
• Providers in Arlington, MA by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.