DR. BRIAN FISHER MAHON PH.D.
NPI 1528181518
Psychologist - Clinical in New York, NY

Active since April 06, 2007Opted out of Medicare · through Jul 1, 2028
415 E 85TH ST APT 11CD, NEW YORK, NY 10028(212) 988-6435 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. Brian Fisher Mahon Ph.d. NPPES

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

DR. BRIAN FISHER MAHON PH.D. (NPI 1528181518) is an individual clinical provider in New York, New York, licensed in New York (006687-1) and active in the NPI registry since April 2007. He has opted out of Medicare through July 1, 2028 and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1528181518
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BRIAN FISHER MAHONCredential: PH.D.
Location Address415 E 85TH ST APT 11CDNew York, NY 10028-6363
Mailing Address415 E 85th St Apt 11cdNew York, NY 10028-6363 · (212) 988-6435
Sole ProprietorYes
Enumeration DateApril 6, 2007
Last NPPES UpdateJune 10, 2021
NPPES CertifiedApril 19, 2021
NPI 1528181518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NY · 006687-1
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
415 E 85TH ST APT 11CD, New York, NY 10028

Secondary Practice Location 1

Location 1226 E 70th St, Suite 1-BNew York, NY 10021-5428 · Phone (212) 988-6435

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Brian Fisher Mahon Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2022 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2022
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Mahon's NPI number?

The NPI number for Brian Mahon is 1528181518. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Brian Mahon located?

Brian Mahon practices at 415 E 85th St Apt 11cd, New York, NY 10028. The listed phone number is (212) 988-6435.

What is Brian Mahon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Brian Mahon enrolled in Medicare?

No. Brian Mahon has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Brian Mahon was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.