HARRY WALLACE MAHOOD JR. (NPI# 1255320909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255320909 |
| Entity Type | Individual |
| Full Name | HARRY WALLACE MAHOOD JR. |
| Credential | MD |
| Practice Address |
1 Lawrence St Center for Children & Families Glens Falls NY 12801-3617 |
| Mailing Address |
100 Park St Glens Falls Hospital Glens Falls NY 12801-4413 |
| Practice Telephone | 5189267100 |
| Practice Fax Number | 5189267069 |
| Mailing Telephone | 5189263210 |
| Mailing Fax Number | 5189263215 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2012-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
205334 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
205334 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | RR MEDICARE | P00987929 | 01 |
| Street Address |
1 LAWRENCE ST CENTER FOR CHILDREN & FAMILIES |
| City | GLENS FALLS |
| State | NY |
| Zip Code | 12801-3617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871581975 | Susan Jane Mcphillips | Psychiatry & Neurology | 1 Lawrence St, Center for Children and Families, Glens Falls, NY 12801-3617 | 2005-10-12 |
| 1801420963 | Robyn Kidd Roemer | Social Worker | 1 Lawrence St, Glens Falls, NY 12801-3617 | 2020-02-27 |
| 1134767080 | Renee Elizabeth Neddo | Social Worker | 1 Lawrence St, Glens Falls, NY 12801-3617 | 2019-12-11 |
| 1720626674 | Shelby Kaufmann | Social Worker | 1 Lawrence St, Glens Falls, NY 12801-3617 | 2019-12-11 |
| 1144862871 | Erin Joiner | Nurse Practitioner | 1 Lawrence St, Glens Falls, NY 12801-3617 | 2019-10-15 |
| 1215597471 | Maria Gebremichael | Nurse Practitioner | 1 Lawrence St, Glens Falls, NY 12801-3617 | 2019-06-19 |
| 1194212100 | Owen Roberts | Social Worker | 1 Lawrence St, Glens Falls, NY 12801-3617 | 2018-04-16 |
| 1629574439 | Brittany Dawson | Social Worker | 1 Lawrence St, Glens Falls, NY 12801-3617 | 2018-04-02 |
| 1962924431 | Kelley Haggerty | Social Worker | 1 Lawrence St, Glens Falls, NY 12801-3617 | 2017-07-16 |
| 1316475130 | Melissa Teresa Seale | Registered Nurse | 1 Lawrence St, Glens Falls, NY 12801-3617 | 2017-05-24 |
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|---|---|---|---|---|
| 1629549399 | Upstate Vision Care, Pllc | Technician/Technologist | 206 Glen St. Suite 31b, Colvin Building, Glens Falls, NY 12801 | 2018-12-06 |
| 1043737356 | Tiffany Britt | Social Worker | 43 Kensington Rd, Glens Falls, NY 12801 | 2017-08-28 |
| 1922375922 | Kathleen A Callaghan | Registered Nurse | 43 Kensington Road, Glens Falls, NY 12801 | 2011-11-19 |
| 1043595531 | Nancy K. Carroll | Social Worker | 37 Broad St., Glens Falls, NY 12801 | 2011-10-15 |
| 1992027528 | Benjamin Alan Rametta | Pharmacist | 202 Broad Street, Walgreens, Glens Falls, NY 12801 | 2010-02-23 |
| 1194052563 | Angela M Lalla | Audiologist | 318 Ridge Street, Glens Sallas, NY 12801 | 2009-11-05 |
| 1407018591 | Marilyn J Bryan | Counselor | 4 Technical Park, Suite #3, #6, Glens Falls, NY 12801 | 2008-06-30 |
| 1104087667 | Chase Chiropractic LLC | Chiropractor | 17 Pine St. 1 Irongate Center, Suite 3, Glens Falls, NY 12801 | 2008-06-18 |
| 1619183571 | Glens Falls Crossings LLC | Skilled Nursing Facility | 170 Warren Street, Glens Falls, NY 12801 | 2007-05-15 |
| 1417099706 | Patricia Ann Cameron | Psychologist | 464 Glen Street, Glens Falls, NY 12801 | 2007-02-13 |
| Find all providers in zip 12801 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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| 1598306441 | Place of Mind Child, Adolescent, and Adult Psychiatry P.C. | Psychiatry & Neurology | 240 Central Park S Apt 2h, New York, NY 10019-1435 | 2019-10-02 |
| 1881102267 | Park Avenue Physicians PC | Psychiatry & Neurology | 5 W 86th St Apt 1b, New York, NY 10024-3663 | 2018-01-19 |
| 1518478080 | Diego G. Calabria Physician P.C. | Psychiatry & Neurology | 366 N Broadway Ste 304, Jericho, NY 11753-2000 | 2017-10-23 |
| 1013426865 | Bebsy Estefan Md PC | Psychiatry & Neurology | 3050 Corlear Ave # Phb, Bronx, NY 10463-5180 | 2017-09-25 |
| 1902281629 | Derek Rudge | Psychiatry & Neurology | 1051 Riverside Dr Rm 235, New York, NY 10032-1007 | 2015-07-23 |
| 1275918096 | Dr Omar Bashayan Physician Pllc | Psychiatry & Neurology | 155 W 68th St Apt 1102, New York, NY 10023-5816 | 2015-07-22 |
| 1740676766 | Maura E Tappen | Psychiatry & Neurology | 1860 South Ave, Rochester, NY 14620-4229 | 2015-04-07 |
| 1194119560 | Krishen Persaud | Psychiatry & Neurology | Stony Brook Psychiatric Associates, Ufpc, Sbumc, Hsc Level 10, Rm.020, Stony Brook, NY 11794-8101 | 2015-03-24 |
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| City | GLENS FALLS |
| Zip Code | 12801 |
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| 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.