Jessica K. Mahoney, Psy.D., P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY9329 Issued in FL

Legal business name

JESSICA K. MAHONEY, PSY.D., P.A.

Practice address

3457 Brook Crossing Dr
Brandon, FL 33511-8181

Phone

(813) 774-8852

NPI assigned

Sep 23, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Mahoney, PSY.D.

Title

President

Phone

(813) 774-8852

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1982073623",
    "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"
        },
        {
            "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": {
        "organization_name": "JESSICA K. MAHONEY, PSY.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-774-8852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer a. Mannion
• Ron Matthew Jennings, PT
• Samantha Jennings
• Sabrina Jerrels, OTR/L
• Jerry a Wishik, M.D., P.a.
• Nevaeh Liara Jessup, RBT
• Dayna Jetmore
• Lawanya Jeyaselvan, MD
• Linzi Jiang, MD
• Anthony John Jimenez, PA-C

• Clinical Psychologist in Brandon, FL
• Providers in Brandon, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.

Verify at the official NPI Registry.