Tamika Mahone, SPED

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

882338141 Issued in NY

Practice address

350 Hoyt Ave
Staten Island, NY 10301-2625

Phone

(917) 204-5451

Fax

(718) 818-8729

NPI assigned

Oct 1, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Tamika Ingleton Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1447653654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HOYT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012625",
            "telephone_number": "917-204-5451",
            "fax_number": "718-818-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HOYT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012625",
            "telephone_number": "917-204-5451",
            "fax_number": "718-818-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONE",
        "first_name": "TAMIKA",
        "credential": "SPED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "882338141",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "882338141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMIKA",
            "last_name": "INGLETON",
            "prefix": "MRS.",
            "credential": "SPED",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gehan Walid Mahmoud, MD
• Habiba Mahmoud
• Mohamed Mahmoud
• Noorelhoda Mahmoud, PT, DPT
• Nicole Mahon, SLP
• Corrin Rose Mahoney, MS SLP
• Lauren Mahoney, PSY.D, BCBA, NYS-LBA
• Neil Francis Mahoney I, RN
• Yekaterina Mahoney, NP
• Rachel Mahony, FNP

• Early Intervention Provider Agency in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.