Individual provider Active NPI

Noreen Joan McMahon, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • Saratoga Springs, NY
National Provider Identifier
1356556708
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400-198 Issued in NY
Practice address
30 Crescent Ave
Saratoga Springs, NY 12866-5142
Phone
(518) 584-3600
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F400-198 NY Primary

Addresses

Primary practice location

30 Crescent Ave
Saratoga Springs, NY 12866-5142

Mailing address

30 Crescent Ave
Saratoga Springs, NY 12866-5142
Phone (518) 584-3600

Other identifiers 1

IdentifierTypeStateIssuer
F400-198OtherNYNPP LISCENSE NUMBER

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040823000816 NY Practitioner - Nurse Practitioner 9931173291 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F400-198NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Support Services, Inc CurrentSince Feb 6, 2016 Accepting new patients
Rehabilitation Support Services, Inc CurrentSince Feb 6, 2016 Accepting new patients

Locations

306 Central Ave
Albany, NY 12206
Phone (518) 462-1094

314 Central Ave
Albany, NY 12206
Phone (518) 407-0093

5172 Western Tpke
Altamont, NY 12009
Phone (518) 464-1511

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356556708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CRESCENT AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665142",
            "telephone_number": "518-584-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CRESCENT AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665142",
            "telephone_number": "518-584-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "NOREEN",
        "middle_name": "JOAN",
        "credential": "NPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400-198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPP LISCENSE NUMBER",
            "identifier": "F400-198",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.