KELLY MAHONEY PMHNP NPI 1922580026

NPI Information

NPI: 1922580026
Provider Name: KELLY MAHONEY, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: WAKEMED SPECIALISTS GROUP LLC

PECOS Registration: Yes

Address:
33 TOWER ST
SOMERVILLE, MA
ZIP 02143
Phone: (617) 591-4500
Get Directions

Kelly Mahoney, PMHNP is a psychiatric/mental health nurse practitioner in Somerville, MA with 6 years of experience. Kelly Mahoney, PMHNP NPI is 1922580026. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

33 TOWER ST
SOMERVILLE, MA
ZIP 02143-426
Phone: (617) 591-4500

The NPI 1922580026 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/5/2018 and was last updated on 10/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	239268	NORTH CAROLINA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN2357709	MASSACHUSETTS	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	5010931	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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