Individual provider Active NPI

Thomas J McMahon, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hamilton, OH
National Provider Identifier
1992395016
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0028257 Issued in OH
Practice address
820 S Martin Luther King Jr Blvd
Hamilton, OH 45011-3216
Phone
(513) 887-8500
Fax
(513) 737-8196
NPI assigned
Jan 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0028257 OH Primary

Addresses

Primary practice location

820 S Martin Luther King Jr Blvd
Hamilton, OH 45011-3216

Mailing address

820 S Martin Luther King Jr Blvd
Hamilton, OH 45011-3216
Phone (513) 887-8500

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Thomas.mcmahoniii@ketteringhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210216001222 OH Practitioner - Nurse Practitioner 0143635672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Behavioral Health, Inc.Group PAC ID 0143290726, 13 clinicians

Practice addresses (Care Compare)

820 S Martin Luther King Jr Blvd
Hamilton, OH 45011-3216
Phone (513) 887-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Behavioral Health Inc. CurrentSince Feb 15, 2021 Accepting new patients
Community Behavioral Health, Inc. CurrentSince Feb 15, 2021 Accepting new patients

Locations

820 S Martin Luther King Jr Blvd
Hamilton, OH 45011
Phone (513) 887-8500

820 S Martin Luther King Jr Blvd
#J
Hamilton, OH 45011
Phone (513) 887-8500

1900 Fairgrove Ave
Hamilton, OH 45011
Phone (513) 785-4895

230 Ludlow St
Hamilton, OH 45011
Phone (513) 785-4899

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1992395016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S MARTIN LUTHER KING JR BLVD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450113216",
            "telephone_number": "513-887-8500",
            "fax_number": "513-737-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S MARTIN LUTHER KING JR BLVD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450113216",
            "telephone_number": "513-887-8500",
            "fax_number": "513-737-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-22",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0028257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Thomas.mcmahoniii@ketteringhealth.org",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6851 Mason Rd",
            "city": "Mason",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450401213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.