Active NPI
Mary B. O'Malley, M.D., PHD.
- Psychiatry Physician
- Sanford, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 242178
- 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
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 |
|---|---|---|---|---|
| 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, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 242178 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William W Backus Hospital | Current | Accepting new patients | |
| Natchaug Hospital, Inc. | Current | Accepting new patients | |
| Berkshire Medical Center, Inc | Current | Accepting new patients | |
| MCCD FL Psychiatry Services PA | Psychiatry | Current | Accepting new patients |
| The William W Backus Hospital | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Complex Care PC | Current | Accepting new patients | |
| Berkshire Faculty Services Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Psychiatry | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Berkshire Medical Center Inc. | Current | 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
- maryomalley@bfs.medalliesdirect.net
- https://fhir4.healow.com/fhir/r4/IHJHBD
- 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.
-
dba Talkiatry
- Psychiatry Physician
- Jacksonville, FL
- NPI 1659003457
MA
-
- General Acute Care Hospital
- Pittsfield, MA
- NPI 1295765261
-
dba HMHMG Complex Care
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
-
dba HMHMG Specialty Care
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Psychiatry
-
- Psychiatric Hospital
- Mansfield Center, CT
- NPI 1295811321
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1467517235
-
- Multi-Specialty Clinic/Center
- Pittsfield, MA
- NPI 1548212939
-
dba Berkshire Community Pharmacy of North Adams
- Community/Retail Pharmacy
- North Adams, MA
- NPI 1932649753
-
dba HMMG New Jersey Oral & Maxillofacial Surgery
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Psychiatric Hospital Unit
- Norwich, CT
- NPI 1730243536
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1467517235
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1639135718
-
- Psychiatric Hospital Unit
- Norwich, CT
- NPI 1730243536
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.