Organization Active NPI

Mike Mahony, MD, LLC

  • Psychiatry Physician
  • Metairie, LA
National Provider Identifier
1881947620
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MIKE MAHONY, MD, LLC
Practice address
3500 N Causeway Blvd
Suite 1410
Metairie, LA 70002-3527
Phone
(504) 838-9919
NPI assigned
Oct 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Authorized official

Name
Dr. Peter Michael Mahony Jr., MD
Title
Owner
Phone
(504) 858-4740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X LA Primary

Addresses

Primary practice location

3500 N Causeway Blvd
Suite 1410
Metairie, LA 70002-3527

Mailing address

3500 N Causeway Blvd
Suite 1410
Metairie, LA 70002-3527
Phone (504) 838-9919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121101000571 LA Part B Supplier - Clinic/Group Practice 4284884057 Receives reassigned benefits from 3 practitioners
Practice locations: Metairie, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1881947620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N CAUSEWAY BLVD",
            "address_2": "SUITE 1410",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023527",
            "telephone_number": "504-838-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N CAUSEWAY BLVD",
            "address_2": "SUITE 1410",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023527",
            "telephone_number": "504-838-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE MAHONY, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "MAHONY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-858-4740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.