Kelly Mahoney, PMHNP is a
Nurse Practitioner - Psychiatric/mental Health physician based in Somerville, Massachusetts. Kelly Mahoney is licensed to practice in North Carolina (license number 5010931) and her current practice location is 33 Tower St, Somerville, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(617) 591-4500.
NPI number for Kelly Mahoney is 1922580026 and her current mailing address is 400 W Hargett St Apt 406, Raleigh, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922580026.
Physician's Profile
Full Name | Kelly Mahoney |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 33 Tower St, Somerville, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922580026
- Provider Enumeration Date: 09/05/2018
- Last Update Date: 10/12/2021
Medical Identifiers
Medical identifiers for Kelly Mahoney such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922580026 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 239268 (North Carolina) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2357709 (Massachusetts) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 5010931 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Mahoney is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Mahoney, PMHNP 400 W Hargett St Apt 406, Raleigh, NC 27603-4059 Ph: (910) 603-6162 | Kelly Mahoney, PMHNP 33 Tower St, Somerville, MA 02143-1426 Ph: (617) 591-4500 |
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