Active NPI
David Joseph Mahoney, PHD
- Psychologist
- Whitefish, MT
National Provider Identifier
1609900471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- MT # 378
- Practice address
- 100 2ND St E
Whitefish, MT 59937-2410 - Phone
- (406) 257-1731
- NPI assigned
- Mar 15, 2007
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | KY367 | KY | |
| Psychologist | 103T00000X | MT # 378 | MT | Primary |
Addresses
Primary practice location
100 2ND St E
Whitefish, MT 59937-2410
Mailing address
100 2ND St E
Whitefish, MT 59937-2410
Phone (406) 257-1731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT# 378 | Other | MT | LICENSE - PSYCHOLOGIST |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT # 378 | MT | MD | Psychologist |
| KY367 | KY | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262390400000",
"number": "1609900471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 2ND ST E",
"city": "WHITEFISH",
"state": "MT",
"postal_code": "599372410",
"telephone_number": "406-257-1731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 2ND ST E",
"city": "WHITEFISH",
"state": "MT",
"postal_code": "599372410",
"telephone_number": "406-257-1731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHONEY",
"first_name": "DAVID",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2010-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "KY",
"license": "KY367",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MT",
"license": "MT # 378",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE - PSYCHOLOGIST",
"identifier": "MT# 378",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Whitefish, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.