Individual provider Active NPI

Phillip Matthew Mahoney, PHD

  • Speech-Language Pathologist
  • Huntington, WV
National Provider Identifier
1407730740
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-2665 Issued in WV
Practice address
1625 3Rd Ave
Huntington, WV 25755-0001
Phone
(304) 696-3641
NPI assigned
Jul 31, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP-2665 WV Primary

Addresses

Primary practice location

1625 3Rd Ave
Huntington, WV 25755-0001

Mailing address

33 High St
Wheelersburg, OH 45694-8562
Phone (215) 400-1693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251027002611 WV Practitioner - Qualified Speech Language Pathologist 6800385378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marshall UniversityGroup PAC ID 5597138990, 4 clinicians

Practice addresses (Care Compare)

1 John Marshall Dr
Huntington, WV 25755-0002
Phone (304) 696-3641

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SLP-2665WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall University Speech-Language Pathologist CurrentSince Aug 1, 2025 Accepting new patients
University Physicians & Surgeons, Inc Past Accepting new patients

Locations

1 John Marshall Dr
#143
Huntington, WV 25755
Phone (304) 696-3641

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": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1407730740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HIGH ST",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456948562",
            "telephone_number": "215-400-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 3RD AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257550001",
            "telephone_number": "304-696-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "PHILLIP",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-2665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.