JUDY RENEE MAHONEY PH.D.
NPI 1821178997
Psychologist - Clinical in Irvine, CA
About Judy Renee Mahoney Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUDY RENEE MAHONEY PH.D. (NPI 1821178997) is an individual clinical provider in Irvine, California, licensed in California (PSY16479) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Judy Renee Mahoney Ph.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Judy Mahoney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Irvine, CA 92612
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Judy Mahoney Phd A Professional Psychology Corporation
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
IRVINE, CA 92612
IRVINE, CA 92612
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 Judy Mahoney's NPI number?
The NPI number for Judy Mahoney is 1821178997. It was assigned to this individual provider in the NPPES registry on October 16, 2006.
Where is Judy Mahoney located?
Judy Mahoney practices at 4199 Campus Dr Suite 550, Irvine, CA 92612. The listed phone number is (949) 903-4110.
What is Judy Mahoney's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Judy Mahoney enrolled in Medicare?
Yes. Judy Mahoney is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Judy Mahoney's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Judy Mahoney reassigns Medicare benefits to Judy Mahoney, Ph.D., A Professional Psychology Corporation (Irvine, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Judy Mahoney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Judy Mahoney was last updated on November 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Judy Renee Mahoney, PH.D. · NPI 1821178997
Clinical provider in Irvine, California. Individual provider, active in the CMS NPPES registry since October 16, 2006.
## Identity
- **NPI:** 1821178997 (Entity type: Individual)
- **Enumerated:** October 16, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY16479 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4199 CAMPUS DR, SUITE 550, Irvine, CA 92612-4684
- **Phone:** (949) 903-4110 · **Fax:** (949) 640-1709
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Judy Mahoney, Ph.D., A Professional Psychology Corporation (NPI 1851573562, Irvine, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Southern California Keck School Of Medicine, class of 1995
## Record status
- **NPPES last updated:** November 30, 2007
- **Other identifiers:** Medicare ID-Type Unspecified CP16479 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1821178997) · Data from the CMS NPPES public registry.