Maryrose Josephine McMahon, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

125940 Issued in CA

Practice address

1555 W Sunset Blvd Unit C
Los Angeles, CA 90026-3333

Phone

(323) 207-9017

NPI assigned

Mar 19, 2021

Sex

Female

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1538745732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3744 LANDA ST APT 7",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900393573",
            "telephone_number": "323-309-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 W SUNSET BLVD UNIT C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900263333",
            "telephone_number": "323-207-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "MARYROSE",
        "middle_name": "JOSEPHINE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "125940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McMahon Optometric Corporation
• Alexander John McMahon, D.D.S., M.D.
• Elizabeth McMahon, OD
• Jazmine McMahon
• Leah McMahon, L.AC.
• Maureen Anne McMahon, MD
• Patricia Mary McMahon, LMFT
• James McManus
• Shauna Leslie McManus, M.A.
• Carmela McMartin-Rodriguez

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.