Individual provider Active NPI

Harry Wallace Mahood Jr., MD

  • Child & Adolescent Psychiatry Physician
  • Glens Falls, NY
National Provider Identifier
1255320909
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
205334 Issued in NY
Practice address
1 Lawrence St
Center for Children & Families
Glens Falls, NY 12801-3617
Phone
(518) 926-7100
Fax
(518) 926-7069
NPI assigned
Oct 17, 2005
Last updated
Jun 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 205334 NY
Child & Adolescent Psychiatry Physician 2084P0804X 205334 NY Primary

Addresses

Primary practice location

1 Lawrence St
Center for Children & Families
Glens Falls, NY 12801-3617

Mailing address

100 Park St
Glens Falls Hospital
Glens Falls, NY 12801-4413
Phone (518) 926-3210

Other identifiers 1

IdentifierTypeStateIssuer
P00987929OtherNYRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041007000108 NY Practitioner - Psychiatry 1557320306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

25 Willowbrook Rd
Suite 1
Queensbury, NY 12804-3137
Phone (518) 926-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Services North, Inc. CurrentSince Nov 9, 2020 Accepting new patients
Behavioral Health Services North, Inc. CurrentSince Nov 9, 2020 Accepting new patients
Glens Falls Hospital Inc CurrentSince Jun 1, 2018 Accepting new patients

Locations

1 Lawrence St
Glens Falls, NY 12801
Phone (518) 926-7220

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

1134 State Route 29
Greenwich, NY 12834
Phone (518) 692-9861

340 Main St
Hudson Falls, NY 12839
Phone (518) 747-8001

2155 State Route 22B
Morrisonville, NY 12962
Phone (518) 562-3847

22 US Oval
Ste 218
Plattsburgh, NY 12903
Phone (518) 563-8206

25 Willowbrook Rd
Queensbury, NY 12804
Phone (518) 793-9156

25 Willowbrook Rd
Ste 1
Queensbury, NY 12804
Phone (518) 926-2065

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1255320909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK ST",
            "address_2": "GLENS FALLS HOSPITAL",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014413",
            "telephone_number": "518-926-3210",
            "fax_number": "518-926-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAWRENCE ST",
            "address_2": "CENTER FOR CHILDREN & FAMILIES",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013617",
            "telephone_number": "518-926-7100",
            "fax_number": "518-926-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHOOD",
        "first_name": "HARRY",
        "middle_name": "WALLACE",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "205334",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "205334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00987929",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.