Northside Psychology PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

013606 Issued in NY

Legal business name

NORTHSIDE PSYCHOLOGY PLLC

Practice address

331 Leonard St Ste 1F
Brooklyn, NY 11211-2309

Phone

(718) 669-1919

Fax

(347) 308-5985

NPI assigned

Mar 27, 2018

Last updated

Mar 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Mahony, PHDNPI 1649226069

Title

Clinical Psychologist

Phone

(718) 668-1919

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, FL, WV, AL, CA5 enrollments

Enrollment records 5

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Mahony, PHD

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1649226069

  AL, FL, WV

  Medicare reassignment Care Compare group NPD Authorized official
• Laura Cathleen Hruska, PH.D.

  • Clinical Psychologist
  • Syracuse, NY
  • NPI 1346693215
  Medicare reassignment Care Compare group NPD
• Jennifer Ruth Moss, PSYD

  • Clinical Psychologist
  • Bronx, NY
  • NPI 1093244113
  Medicare reassignment Care Compare group NPD
• Debra K Smith, PHD

  • Clinical Psychologist
  • Port Jefferson, NY
  • NPI 1720089972
  Medicare reassignment Care Compare group NPD
• Terese Katz, PH.D.

  • Clinical Psychologist
  • Northampton, MA
  • NPI 1073685947

  NY

  Medicare reassignment Care Compare group NPD
• Maritza Kerekes, PSY.D.

  • Psychologist
  • Danbury, CT
  • NPI 1023287687

  NY

  Medicare reassignment Care Compare group NPD
• Maria Larino, PH.D.

  • Clinical Psychologist
  • Ridgefield, CT
  • NPI 1922253210

  NY

  Medicare reassignment Care Compare group NPD
• Brian J Kelly, PH.D.

  • Counseling Psychologist
  • Auburn, NY
  • NPI 1235494774
  Medicare reassignment NPD
• Tiffany Massia, PSYD

  • Clinical Psychologist
  • Claremont, CA
  • NPI 1487172920
  Medicare reassignment NPD
• Rosanna Lora, PH.D.

  • Psychologist
  • Rocky Mount, NC
  • NPI 1043358997
  NPD (past)

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1477058998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 LEONARD ST STE 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112112309",
            "telephone_number": "718-669-1919",
            "fax_number": "347-308-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 LEONARD ST STE 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112112309",
            "telephone_number": "718-669-1919",
            "fax_number": "347-308-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "MAHONY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "718-668-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "013606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01947837",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Northside Pharmacy Corp (Northside Pharmacy)
• Northstar Medical PLLC
• Northstar Mental Health Counseling PLLC
• Andrea M Norton, M.D.
• Yola Alicia Norville Hamilton, LMSW
• Tandeeka Norville

• Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.