Colin Mahoney, SE

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

1246 Yellowstone Ave
Ste C5
Pocatello, ID 83201-4374

Phone

(208) 233-0150

Fax

(208) 233-0159

NPI assigned

Jul 17, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1255715330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 YELLOWSTONE AVE",
            "address_2": "STE C5",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014374",
            "telephone_number": "208-233-0150",
            "fax_number": "208-233-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 YELLOWSTONE AVE",
            "address_2": "STE C5",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014374",
            "telephone_number": "208-233-0150",
            "fax_number": "208-233-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "COLIN",
        "credential": "SE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine Marion Macneil, M.D.
• Susan K Macomb, LCPC
• David M Madden, M.D.
• Emily Sarah Magni, LMSW
• John Felix Mahaffey
• Maior Telehealth LLC
• Jon Daniel Malan, DO
• Amber Carolynn Malay, BS
• Sarah Malloy, PA
• Stephen M Maloff, MD

• Psychologist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.