Active NPI
James Edward McMahon, LCSW-LMFT
- Clinical Social Worker
- Cornwall, NY
National Provider Identifier
1457409203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R035065
- Practice address
- 5 Mine Hill Road
Cornwall, NY 12518-1806 - Phone
- (914) 805-5546
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R035065-1 | NY | |
| Clinical Social Worker | 1041C0700X | R035065 | NY | Primary |
| Marriage & Family Therapist | 106H00000X | 000293-1 | NY |
Addresses
Primary practice location
5 Mine Hill Road
Cornwall, NY 12518-1806
Mailing address
5 Mine Hill Rd
Cornwall, NY 12518-1806
Phone (914) 805-5546
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R035065 | NY | MD | Clinical Social Worker |
| R035065-1 | NY | MD | Clinical Social Worker |
| 000293-1 | NY | MD | Medical Art Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274400000000",
"number": "1457409203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MINE HILL RD",
"city": "CORNWALL",
"state": "NY",
"postal_code": "125181806",
"telephone_number": "914-805-5546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 MINE HILL ROAD",
"city": "CORNWALL",
"state": "NY",
"postal_code": "125181806",
"telephone_number": "914-805-5546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "JAMES",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "LCSW-LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2010-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R035065-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R035065",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "000293-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cornwall, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; 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.