David M McMahon, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

63216-21 Issued in WI

Practice address

301 E Saint Joseph St
Green Bay, WI 54301-2241

Phone

(920) 433-3630

Fax

(920) 437-0533

NPI assigned

Jun 25, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Affiliated Clinical Services IncGroup PAC ID 0244124899, 22 clinicians

Rockford Psychiatric Medical Services SCGroup PAC ID 6901089515, 154 clinicians

Human Services Board Serving North Central Health Care FacilityGroup PAC ID 4385617786, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.davidmcmahon@149809.advancedmd-direct.com
• Direct secure messaging: david.mcmahon.1@25899.direct.athenahealth.com
• Direct secure messaging: dmcmahon144000@direct.phci.org

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.

• Affiliated Clinical Services Inc

  • Multi-Specialty Clinic/Center
  • West Bend, WI
  • NPI 1851473698
  Medicare reassignment Care Compare group NPD
• Human Services Board Serving North Central Health Care Facility

  • Multi-Specialty Clinic/Center
  • Wausau, WI
  • NPI 1205944543
  Medicare reassignment Care Compare group NPD
• Rockford Psychiatric Medical Services, S.C.

  • Psychiatry Physician
  • Rockford, IL
  • NPI 1821391442

  WI

  Medicare reassignment Care Compare group NPD
• Ganesha Institute of Neurology and Psychiatry SC

  • Neurology Physician
  • Libertyville, IL
  • NPI 1629478599

  Psychiatry, WI

  Medicare reassignment NPD
• Ganesha Institute of Neurology and Psychiatry SC

  • Neurology Physician
  • Kenosha, WI
  • NPI 1619731320

  Psychiatry

  NPD
• Human Services Board Serving North Central Health Care Facility

  • Psychiatric Hospital
  • Wausau, WI
  • NPI 1932714292
  NPD
• Human Services Board Serving North Central Heatlh Care Facility

  • Multi-Specialty Clinic/Center
  • Wausau, WI
  • NPI 1821106162
  NPD (past)

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1457662249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22040",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052040",
            "telephone_number": "920-445-7210",
            "fax_number": "920-445-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E SAINT JOSEPH ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012241",
            "telephone_number": "920-433-3630",
            "fax_number": "920-437-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "63216-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany J McKnight, LPC
• Ewa Malgorzata McLean, M.S., CCC-SLP
• Ryan Douglas McLean, PHARMD
• Belinda L McLester, BS
• Michael McLouth, BS
• Peter E. McMahon, PT
• Samantha McMahon, FNP-BC
• Michael Charles McManus, MD
• Victoria M McMeen, MD
• Madeline A McNally, M.D.

• Psychiatry Physician in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.
• 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.