Active NPI
Jessica Mahoney, PSY.D.
- Psychologist
- Brandon, FL
National Provider Identifier
1790196715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY9329
- Practice address
- 3457 Brook Crossing Dr
Brandon, FL 33511-8181 - Phone
- (813) 774-8852
- NPI assigned
- May 13, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY9329 | FL | Primary |
Addresses
Primary practice location
3457 Brook Crossing Dr
Brandon, FL 33511-8181
Mailing address
3457 Brook Crossing Dr
Brandon, FL 33511-8181
Phone (813) 774-8852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438300800000",
"number": "1790196715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3457 BROOK CROSSING DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335118181",
"telephone_number": "813-774-8852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3457 BROOK CROSSING DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335118181",
"telephone_number": "813-774-8852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHONEY",
"first_name": "JESSICA",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-13",
"last_updated": "2015-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY9329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.