Judy Mahoney, PH.D., a Professional Psychology Corporation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY16479 Issued in CA

Legal business name

JUDY MAHONEY, PH.D., A PROFESSIONAL PSYCHOLOGY CORPORATION

Practice address

4199 Campus Dr
Suite 550
Irvine, CA 92612-4684

Phone

(949) 903-4110

NPI assigned

Dec 4, 2007

Last updated

May 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Judy Renee Mahoney, PH.D.NPI 1821178997

Title

Chief Executive Officer

Phone

(949) 903-4110

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Judy Renee Mahoney, PH.D.

  • Clinical Psychologist
  • Irvine, CA
  • NPI 1821178997
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1851573562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4199 CAMPUS DR",
            "address_2": "SUITE 550",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926124684",
            "telephone_number": "949-903-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 CAMPUS DR",
            "address_2": "SUITE 550",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926124684",
            "telephone_number": "949-903-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY MAHONEY, PH.D., A PROFESSIONAL PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "949-903-4110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY16479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Christina Juarez, NP
• Troy Matthew Juarez
• Dana Isabel Juat
• Jubilee Mental Health Group, a Professional Nursing Organization
• Judy L. Corr, DO, Inc
• Vivian Jui, D.M.D.
• Julie Edith Chen, O.D. a Professional Corp. (Concourse Optometry)
• Lyndsay Jumamil
• Silvia Jun
• Jung Bong Kim,MD,Inc.

• Community/Behavioral Health Agency in Irvine, CA
• Providers in Irvine, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.