Individual provider Active NPI

Mary B. O'Malley, M.D., PHD.

  • Psychiatry Physician
  • Sanford, ME
National Provider Identifier
1649498742
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
242178 Issued in MA
Practice address
SMMC, Dept of Psychiatry
25 June St
Sanford, ME 04073
Phone
(207) 324-4310
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 242178 MA
Psychiatry Physician 2084P0800X 242178 MA Primary

Addresses

Primary practice location

SMMC, Dept of Psychiatry
25 June St
Sanford, ME 04073

Mailing address

434B Stockbridge Rd Lowr Level
Great Barrington, MA 01230-1295
Phone (203) 556-4846

Other practice location 1

434B Stockbridge Rd Lowr Level
Great Barrington, MA 01230-1295
Phone (203) 556-4846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT, ME, NJ4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20101129000615 MA Practitioner - Psychiatry 2961698238 Reassigns benefits to 4 organizations
I20200415002216 CT Practitioner - Psychiatry 2961698238 Reassigns benefits to 2 organizations
I20210828000365 ME Practitioner - Psychiatry 2961698238
I20220323000985 NJ Practitioner - Psychiatry 2961698238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

265 Franklin St
Suite 1702
Boston, MA 02110-3144
Phone (833) 351-8255

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
242178MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William W Backus Hospital CurrentSince Mar 1, 2020 Accepting new patients
Natchaug Hospital, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Sep 21, 2010 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Jan 27, 2025 Accepting new patients
The William W Backus Hospital CurrentSince Mar 1, 2020 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC CurrentSince Jan 7, 2022 Accepting new patients
Berkshire Faculty Services Inc Current Accepting new patients
Steward Medical Group, Inc CurrentSince Mar 21, 2020 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Psychiatry CurrentSince Jan 1, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Mar 21, 2020 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Sep 21, 2010 Accepting new patients
Fairfield County Medical Services Inc Past Accepting new patients

Locations

189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

265 Franklin St
Ste 1702
Boston, MA 02110
Phone (203) 721-6500

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

19 Davis Ave
Fl 6
Neptune, NJ 07753
Phone (732) 897-3990

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

Interoperability endpoints

  • Direct secure messaging: maryomalley@bfs.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • Direct secure messaging: mary.omalley@xdr.hhchealthdirect.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1649498742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434B STOCKBRIDGE RD LOWR LEVEL",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301295",
            "telephone_number": "203-556-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SMMC, DEPT OF PSYCHIATRY",
            "address_2": "25 JUNE ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "04073",
            "telephone_number": "207-324-4310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "434B Stockbridge Rd Lowr Level",
            "address_purpose": "LOCATION",
            "city": "Great Barrington",
            "state": "MA",
            "postal_code": "012301295",
            "country_code": "US",
            "telephone_number": "203-556-4846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'MALLEY",
        "first_name": "MARY",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "MA",
            "license": "242178",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "242178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, ME

Sources for this page

Verify at the official NPI Registry.