JOHN MICHAEL MAHONEY CP
NPI 1396889143
Psychologist in Redding, CA

Active since February 16, 2007PECOS EnrolledAccepts Medicare Assignment
2640 BRESLAUER WAY, REDDING, CA 96001(530) 225-5200 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John Michael Mahoney Cp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN MICHAEL MAHONEY CP (NPI 1396889143) is an individual psychologist in Redding, California, licensed in California (PSY14921) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1396889143
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJOHN MICHAEL MAHONEYCredential: CP
Location Address2640 BRESLAUER WAYRedding, CA 96001-4246
Mailing AddressPo Box 496048Redding, CA 96049-6048 · (530) 225-5200
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateFebruary 16, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1396889143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY14921
Definition

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.

2640 BRESLAUER WAY, Redding, CA 96001

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Michael Mahoney Cp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890917421
PECOS Enrollment IDI20141113002067
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
2640 BRESLAUER WAY
REDDING, CA 96001
Nurse Practitioner (Adult Health)
2640 BRESLAUER WAY
REDDING, CA 96001
Social Worker (Clinical)
2640 BRESLAUER WAY
REDDING, CA 96001
Marriage & Family Therapist
2640 BRESLAUER WAY
REDDING, CA 96001
Social Worker (Clinical)
2640 BRESLAUER WAY
REDDING, CA 96001
Social Worker (Clinical)
2640 BRESLAUER WAY
REDDING, CA 96001
Social Worker (Clinical)
2640 BRESLAUER WAY
REDDING, CA 96001
Marriage & Family Therapist
2640 BRESLAUER WAY
REDDING, CA 96001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396889143, enumerated as an "individual" on February 16, 2007.

The provider is located at 2640 BRESLAUER WAY REDDING, CA 96001 and the phone number is (530) 225-5200.

Psychologist with taxonomy code 103T00000X.