MS. SUSAN FAY MAHONEY


Address: 124 Professors Row, Tufts University Health Service, Medford, MA 02155-5816
Phone: 6176273350

MS. SUSAN FAY MAHONEY (NPI# 1093928806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093928806
Entity Type Individual
Full Name MS. SUSAN FAY MAHONEY
Credential APRN, BC
Practice Address 124 Professors Row
Tufts University Health Service
Medford
MA 02155-5816
Mailing Address 123 Fisher St
Westwood
MA 02090-3618
Practice Telephone 6176273350
Practice Fax Number 6176273592
Mailing Telephone 7813208164
Mailing Fax Number 6176273592
Enumeration Date 2007-05-08
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
163934 MA Nursing Service Providers

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Office Location

Street Address 124 PROFESSORS ROW
TUFTS UNIVERSITY HEALTH SERVICE
City MEDFORD
State MA
Zip Code 02155-5816

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932156106 Nandini Talwar Psychiatry & Neurology 124 Professors Row, Tufts Univ Health Services, Medford, MA 02155 2006-05-31
1104376904 Mariah Swiech Henderson Physician Assistant 124 Professors Row, Medford, MA 02155-5816 2016-10-05
1669658712 Tufts University Health Service Clinic/Center 124 Professors Row, Medford, MA 02155-5816 2008-01-18
1235320383 Zara Konarski Clinical Nurse Specialist 124 Professors Row, Medford, MA 02155 2007-08-05
1265649420 Leslie Anne Brown-velazquez Physician Assistant 124 Professors Row, Medford, MA 02155 2007-05-17
1275747974 Janie Pollack Internal Medicine 124 Professors Row, Medford, MA 02155 2007-05-10
1437362084 Mary Jo Holland Nurse Practitioner 124 Professors Row, Medford, MA 02155-5816 2007-05-08
1063541928 Kathleen M O'dea Physician Assistant 124 Professors Row, Medford, MA 02155-5816 2007-03-05
1013043603 John A Myers Pediatrics 124 Professors Row, Medford, MA 02155-5816 2007-02-26
1629120407 Ellen Creamer Sitron Nurse Practitioner 124 Professors Row, Tufts University Health Services, Medford, MA 02155 2007-01-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679113922 Elena Chapman Nurse Practitioner 293 Salem St 4, Medford, MA 02155 2020-01-14
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1265915128 Erin Roberts Counselor Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 2018-09-07
1871075739 Janice Madeline Cole Social Worker 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 2018-09-06
1447732573 Mystick Women's Health, Inc. Obstetrics & Gynecology 13 Bradlee Road, Medford, MA 02155 2018-09-05
1144713090 Laura Rogers Psychologist 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 2018-06-14
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Taxonomy Information

Taxonomy Code 163WP0809X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

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1750521563 Hyman Samuel Beshansky Registered Nurse 170 Governors Ave, Medford, MA 02155-1643 2009-03-06
1811137086 Addie Clare Dublin Registered Nurse 26 City Hall Mall, Medford, MA 02155-4754 2009-03-02

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1881227965 Kathleen L Tracy Registered Nurse 1 Hilary St, Boston, MA 02129-2507 2020-02-18
1346893187 Lisa Napoli Registered Nurse 10 Menlo St, Brighton, MA 02135-2910 2019-07-22
1649838129 Maame A Essoun Registered Nurse 33 Harley Dr Apt 4, Worcester, MA 01606-1740 2019-05-30
1063903714 Natalie Baker Registered Nurse 2 Shepherds Hollow Rd, Leeds, MA 01053-9707 2018-05-29
1861997744 Circle Care Behavioral Health LLC Registered Nurse 24 Spring Bars Rd Ste 3a, Falmouth, MA 02540-3938 2018-03-24
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Competitor

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City MEDFORD
Zip Code 02155

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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