Active NPI
Mary Elizabeth Mohon, PSY.D.
- Health Service Psychologist
- Oklahoma City, OK
National Provider Identifier
1891212551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- 1285
- Practice address
- Oklahoma Vamc 921 NE 13TH Street
11G
Oklahoma City, OK 73104 - Phone
- (405) 456-1334
- NPI assigned
- Aug 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | 1285 | OK | Primary |
Addresses
Primary practice location
Oklahoma Vamc 921 NE 13TH Street
11G
Oklahoma City, OK 73104
Mailing address
10704 S Winston Way
Oklahoma City, OK 73170-5214
Phone (405) 323-7791
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1285 | OK | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503532800000",
"number": "1891212551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10704 S WINSTON WAY",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731705214",
"telephone_number": "405-323-7791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "OKLAHOMA VAMC 921 NE 13TH STREET",
"address_2": "11G",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73104",
"telephone_number": "405-456-1334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHON",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-24",
"last_updated": "2017-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "OK",
"license": "1285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.