Organization Active NPI

V. Thomas Mawhinney, PH.D., Inc.

  • Cognitive & Behavioral Psychologist
  • South Bend, IN
National Provider Identifier
1457487944
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
V. THOMAS MAWHINNEY, PH.D., INC.
Doing business as
Behavioral Psychological Family Services
Practice address
828 E Colfax Ave
South Bend, IN 46617-2804
Phone
(574) 251-1531
Fax
(574) 234-5710
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Vaughn Thomas Mawhinney, PH.D.
Title
Owner
Phone
(574) 251-1531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X Primary

Addresses

Primary practice location

828 E Colfax Ave
South Bend, IN 46617-2804

Mailing address

828 E Colfax Ave
South Bend, IN 46617-2804
Phone (574) 251-1531

Other names 1

  • Behavioral Psychological Family Services Doing business as

National Provider Directory

National Provider Directory

Locations

828 E Colfax Ave
South Bend, IN 46617
Phone (219) 233-3003

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457487944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 E COLFAX AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172804",
            "telephone_number": "574-251-1531",
            "fax_number": "574-234-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 E COLFAX AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172804",
            "telephone_number": "574-251-1531",
            "fax_number": "574-234-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V. THOMAS MAWHINNEY, PH.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAWHINNEY",
        "authorized_official_first_name": "VAUGHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-251-1531",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Psychological Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.