Active NPI
Melissa Brooks Mahoney, PH.D.
- Psychologist
- New York, NY
National Provider Identifier
1386187748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 021719-1
- Practice address
- One Park Avenue
8TH Floor
New York, NY 10016-9196 - Phone
- (267) 483-7620
- NPI assigned
- Dec 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 021719-1 | NY | Primary |
Addresses
Primary practice location
One Park Avenue
8TH Floor
New York, NY 10016-9196
Mailing address
One Park Avenue
8TH Floor
New York, NY 10016-9196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021719-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1386187748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE PARK AVENUE",
"address_2": "8TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100169196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE PARK AVENUE",
"address_2": "8TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100169196",
"telephone_number": "267-483-7620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHONEY",
"first_name": "MELISSA",
"middle_name": "BROOKS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-02",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "021719-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.