Kathleen Susan Mahoney, M.S. ED

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

5820 Heritage Landing Dr
East Syracuse, NY 13057-9378

Phone

(315) 701-1107

Fax

(315) 342-7664

NPI assigned

Jan 29, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1972841740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 MILTON AVE",
            "address_2": "APARTMENT 2",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132041620",
            "telephone_number": "315-806-6106",
            "fax_number": "315-342-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 HERITAGE LANDING DR",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579378",
            "telephone_number": "315-701-1107",
            "fax_number": "315-342-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "KATHLEEN",
        "middle_name": "SUSAN",
        "credential": "M.S. ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Macwan
• Madison Irving Pediatrics, PC
• Lindsay Mitchell Madom, M.D.
• Magnetic Diagnostic Resources of Central New York, LLP
• M. Christine Mahanna Johnson, MS, CCC/SLP
• Elizabeth Moore Malcolm, ANP-BC
• Ashley Malcomb
• Anastasia Mallore
• Emily Malone
• Anthony John Malvasi, D.O.

• Case Manager/Care Coordinator in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.