Bernadette Marie McMahon

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

63021155 Issued in NY

Practice address

611 Minnieford Ave
Bronx, NY 10464-1121

Phone

(718) 885-1197

NPI assigned

Dec 19, 2016

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1285179739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 MINNIEFORD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104641121",
            "telephone_number": "718-885-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 MINNIEFORD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104641121",
            "telephone_number": "718-885-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "BERNADETTE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "63021155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Beverley McLeod, MD
• Victoria McLeod
• Shannon McLoughlin, M.A.
• Tanique Shaundece McLune, B.A
• Kisha Annmarie McLymontbrown
• Jeanne Marie McMahon, M.S.CCC/SLP
• Gina Guillano McManus, RN
• Paula McMillan-Perez, LCSW
• Cayla McMillian
• Barbara C McMillion, RNP

• Pediatric Occupational Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.