Elise J Mahoney, FNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

201502876NP-PP Issued in OR

Practice address

1500 NW Bethany Blvd Ste 200
Beaverton, OR 97006-5236

Phone

(503) 741-2735

Fax

(503) 308-7222

NPI assigned

Dec 19, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2025 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Compass Psychiatric Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaverton, OR
  • NPI 1346802733
  NPD (past)
• Catholic Community Services of Western Washington

  • Community/Behavioral Health Agency
  • Vancouver, WA
  • NPI 1558593350
  NPD (past)

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1790054831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NW BETHANY BLVD STE 200",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065236",
            "telephone_number": "503-741-2735",
            "fax_number": "503-308-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NW BETHANY BLVD STE 200",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065236",
            "telephone_number": "503-741-2735",
            "fax_number": "503-308-7222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8800 SE Sunnyside Rd Ste 257-S",
            "address_purpose": "LOCATION",
            "city": "Clackamas",
            "state": "OR",
            "postal_code": "970155738",
            "country_code": "US",
            "telephone_number": "503-741-2735",
            "fax_number": "503-308-7222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "ELISE",
        "middle_name": "J",
        "credential": "FNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-19",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201502876NP-PP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201502876NP-PP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201502876NP-PP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61239945",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500690415",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mah Psychiatric Services Inc (Kids, Inc.)
• Kenneth K.S. Mah, D.P.M.
• Maile D Mahelona, LAC
• Samira Farag Hawash Mahmoud, BCABA
• Camelia Mahmoudian, MD
• Anni Rae Mahurin
• Mai Dental, LLC (Beaverton Kids Pediatric Dentistry)
• Amy H Mai, RPH
• Karen Maier, LCSW
• Jennifer Main, RDH

• Psychiatric/Mental Health Nurse Practitioner in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.