Individual provider Active NPI

David Mahony, PHD

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1649226069
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
013606 Issued in NY
Practice address
331 Leonard St
Ste 1F
Brooklyn, NY 11211-2309
Phone
(718) 668-1919
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 013606 NY Primary

Addresses

Primary practice location

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

Mailing address

331 Leonard St
Ste 1F
Brooklyn, NY 11211-2309
Phone (718) 668-1919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, WV, AL4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20041122000463 NY Practitioner - Clinical Psychologist 1052376894 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY
I20230323002718 FL Practitioner - Clinical Psychologist 1052376894 Reassigns benefits to 1 organization
I20240501001364 WV Practitioner - Clinical Psychologist 1052376894 Reassigns benefits to 1 organization
I20240501003685 AL Practitioner - Clinical Psychologist 1052376894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northside Psychology PLLCGroup PAC ID 5193117570, 7 clinicians

Practice addresses (Care Compare)

331 Leonard St
Brooklyn, NY 11211-2309
Phone (718) 668-1919

407 Mariner Dr
Tarpon Springs, FL 34689-5844
Phone (718) 668-1919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1339WVMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Psychology PLLC CurrentSince Mar 25, 2018 Accepting new patients
Northside Psychology Clinical Current Accepting new patients
Sunnyside Medical Services, P.C. PastSince Jun 14, 2010 Accepting new patients
LMC Physician Services, PC Past Accepting new patients

Locations

4758 Woodmere Blvd
Ste F
Montgomery, AL 36106
Phone (334) 267-5276

1911 Harrison St
Hollywood, FL 33020
Phone (727) 914-2119

204 8th St
Marlinton, WV 24954
Phone (202) 803-7979

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1649226069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 LEONARD ST",
            "address_2": "STE 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112112309",
            "telephone_number": "718-668-1919",
            "fax_number": "347-384-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 LEONARD ST",
            "address_2": "STE 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112112309",
            "telephone_number": "718-668-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONY",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.