Sonea Mahboob, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

69206 Issued in WI

Practice address

2500 Cassady Ave
Huntingdon, PA 16652-2674

Phone

(814) 345-1901

NPI assigned

Jul 29, 2011

Last updated

Aug 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, WI, AL, PA4 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

Specialty

Psychiatry

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Quality of Life Health Services IncGroup PAC ID 7810890902, shared by 23 NPIs, 39 clinicians

County of WausharaGroup PAC ID 9638071681, 7 clinicians

Blair Family Solutions, LLCGroup PAC ID 7113111261, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smahboob223357@direct.myadvocateaurora.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blair Family Solutions, LLC

  • Community/Behavioral Health Agency
  • Altoona, PA
  • NPI 1720133218
  Medicare reassignment Care Compare group NPD
• County of Waushara

  dba Waushara County Clinical Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wautoma, WI
  • NPI 1932207362
  Medicare reassignment Care Compare group NPD
• Interfaith Psychiatry Services, P.C.

  dba OBH Psychiatry & Mental Health

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1487958559
  Medicare reassignment NPD
• Quality of Life Health Services Inc

  dba Quality of Life Health Complex

  • Community Health Clinic/Center
  • Gadsden, AL
  • NPI 1447200977
  Medicare reassignment NPD
• River Region Psychiatry Associates LLC

  dba Ally Psychiatry

  • Psychiatry Physician
  • Montgomery, AL
  • NPI 1386891497
  Medicare reassignment NPD
• Quality of Life Health Services, Inc

  dba Calhoun Quality Health Care

  • Federally Qualified Health Center (FQHC)
  • Anniston, AL
  • NPI 1013339209
  NPD
• Quality of Life Health Services, Inc

  dba Cleburne Quality Health Care

  • Federally Qualified Health Center (FQHC)
  • Heflin, AL
  • NPI 1467620989
  NPD

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1790063402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PARSONS WAY",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060012539",
            "telephone_number": "551-574-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CASSADY AVE",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522674",
            "telephone_number": "814-345-1901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Ann street",
            "address_purpose": "LOCATION",
            "city": "Bergenfield",
            "state": "NJ",
            "postal_code": "07621",
            "country_code": "US",
            "telephone_number": "551-574-3004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Ann street",
            "address_purpose": "LOCATION",
            "city": "Bergenfield",
            "state": "NJ",
            "postal_code": "07621",
            "country_code": "US",
            "telephone_number": "551-574-3004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "W6144 AEROTECH DR",
            "address_purpose": "LOCATION",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549147503",
            "country_code": "US",
            "telephone_number": "920-921-3343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHBOOB",
        "first_name": "SONEA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "267882",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "69206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald A Long, M.D.
• Jennifer Lynch, RN
• Stephanie Lynch
• Kyler Jamison Maceno
• Ronald Paul Mack Jr., PA
• Lindsey Anne Mainello, CRNP
• Mainstream Counseling
• Mainstreamcounseling
• David Ryan Maletta, COTA/L
• Kevin Malicky, CRNP F-NP

• Psychiatry Physician in Huntingdon, PA
• Providers in Huntingdon, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.

Verify at the official NPI Registry.