Active NPI
Jamin T McMahon, M.D. M.P.H.
- Psychiatry Physician
- Gig Harbor, WA
National Provider Identifier
1477539989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 76166
- Practice address
- 7811 Reliance Ridge LN
Gig Harbor, WA 98335-1196 - Phone
- (253) 228-5602
- NPI assigned
- Dec 16, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | 76166 | MA | |
| Psychiatry Physician | 2084P0800X | 76166 | MA | Primary |
Addresses
Primary practice location
7811 Reliance Ridge LN
Gig Harbor, WA 98335-1196
Mailing address
PO Box 184
Gig Harbor, WA 98335-0184
Phone (253) 228-5602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76166 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377820800000",
"number": "1477539989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 184",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983350184",
"telephone_number": "253-228-5602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7811 RELIANCE RIDGE LN",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351196",
"telephone_number": "253-228-5602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "JAMIN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D. M.P.H.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2013-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "MA",
"license": "76166",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "76166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.