COLIN MAHONEY (NPI# 1255715330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255715330 |
| Entity Type | Individual |
| Full Name | COLIN MAHONEY |
| Credential | SE |
| Practice Address |
1246 Yellowstone Ave Ste C5 Pocatello ID 83201-4374 |
| Practice Telephone | 2082330150 |
| Practice Fax Number | 2082330159 |
| Mailing Telephone | 2082330150 |
| Mailing Fax Number | 2082330159 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
1246 YELLOWSTONE AVE STE C5 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-4374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760435143 | Wallace Lloyd Christensen | Optometrist | 1246 Yellowstone Ave, Suite A4, Pocatello, ID 83201-4374 | 2006-05-18 |
| 1770127565 | Portneuf Valley Dental | Clinic/Center | 1246 Yellowstone Ave, Pocatello, ID 83201-4374 | 2019-11-05 |
| 1265820773 | Alina Bonci | Counselor | 1246 Yellowstone Ave, Suite C5, Pocatello, ID 83201-4374 | 2015-01-06 |
| 1932479326 | Nichole Christene Rammell | Social Worker | 1246 Yellowstone Ave, Suite C5, Pocatello, ID 83201-4374 | 2012-01-03 |
| 1326356122 | Michael T Mchugh | Dentist | 1246 Yellowstone Ave, Ste D3, Pocatello, ID 83201-4374 | 2010-09-15 |
| 1467675587 | Diane K. Moll | Counselor | 1246 Yellowstone Ave, Suite C-6, Pocatello, ID 83201-4374 | 2007-04-10 |
| 1891918603 | Michael T Mchugh D.d.s., Pa | Clinic/Center | 1246 Yellowstone Ave, Ste. D3, Pocatello, ID 83201-4374 | 2007-04-10 |
| 1316968241 | Jason Arthur Mauseth | Dentist | 1246 Yellowstone Ave, Ste B1, Pocatello, ID 83201-4374 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114192986 | Bmh, Inc. | Psychologist | 1151 Hospital Way # D-100, Pocatello, ID 83201-5091 | 2008-04-23 |
| 1255459608 | Kenneth P. Lindsey, Phd, Pa | Psychologist | 1151d Hospital Way, Suite 204, Pocatello, ID 83201-2763 | 2007-03-26 |
| 1639218241 | Cheri L. Atkins | Psychologist | 1151 Hospital Way # D, Suite 204, Pocatello, ID 83201-2763 | 2007-02-06 |
| 1063424448 | Debra Larsen Aubrey | Psychologist | 850 E Center St Ste A, Pocatello, ID 83201-5737 | 2006-08-13 |
| 1659874881 | Julie Spencer | Psychologist | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2018-03-14 |
| 1962923219 | Justin Paul Schrotenboer | Psychologist | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2017-06-27 |
| 1144754235 | Yaeeun Lee | Psychologist | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2017-04-14 |
| 1093163073 | Anne Stegenga | Psychologist | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2016-05-31 |
| 1679971584 | Erika Coles | Psychologist | 500 S 11th Ave Ste 400, Pocatello, ID 83201 | 2014-12-09 |
| 1497051544 | Pocatello Health Services, LLC | Psychologist | 651 Memorial Dr, Pocatello, ID 83201-4071 | 2011-02-08 |
| Find all providers in POCATELLO | ||||
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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.