MR. MICHAEL WILLIAM MAHONEY (NPI# 1659799500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659799500 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL WILLIAM MAHONEY |
| Credential | LADC, NCAC1 |
| Practice Address |
1530 Assisi Dr Nw Rochester MN 55901-1637 |
| Practice Telephone | 5072183450 |
| Practice Fax Number | 8558565734 |
| Mailing Telephone | 5072183450 |
| Mailing Fax Number | 8558565734 |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
301050 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144858317 | Michael Robert Mahoney Jr. | Military Health Care Provider | 34800 Bob Wilson Dr Ste 14, San Diego, CA 92134-1014 | 2020-04-01 |
| 1497881965 | Michael S Mahoney | Internal Medicine | 11795 Education St Ste 213, Auburn, CA 95602-2469 | 2007-02-26 |
| 1396840237 | Michael Mahoney | Emergency Medicine | 29710 Urgent Care Dr, Daphne, AL 36526-9595 | 2006-09-14 |
| 1982171922 | Michael Mahoney | Counselor | 3828 W Taylor St, Chicago, IL 60624-4027 | 2018-10-29 |
| 1841672052 | Michael Mahoney Jr. | Speech-Language Pathologist | 13890 Braddock Rd, Ste. 207, Centreville, VA 20121-2435 | 2015-06-24 |
| 1659612448 | Michael D Mahoney | Counselor | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2013-03-05 |
| 1255689790 | Michael Mahoney | Counselor | 8931 Huron St, Thornton, CO 80260-6806 | 2012-08-15 |
| 1912278334 | Michael James Mahoney | Surgery | 50 Moisey Dr Ste 214, Hazle Township, PA 18202-9297 | 2012-01-17 |
| 1790929727 | Michael Mahoney | Case Manager/Care Coordinator | 1407 Saint Andrew St Ste 100, La Crosse, WI 54603-2378 | 2009-04-21 |
| 1629297270 | Michael Dennis Mahoney | Obstetrics & Gynecology | 29751 Little Mack Ave, Suite B, Roseville, MI 48066-6503 | 2007-04-24 |
| Street Address |
1530 ASSISI DR NW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55901-1637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548225188 | Samaritan Bethany Inc | Skilled Nursing Facility | 1530 Assisi Dr Nw, Rochester, MN 55901-1637 | 2006-04-18 |
| 1699214890 | Carl White | Counselor | 1530 Assisi Dr Nw, Rochester, MN 55901-1637 | 2017-02-21 |
| 1831519081 | Kenton Neu | Counselor | 1530 Assisi Dr Nw, Rochester, MN 55901-1637 | 2014-04-25 |
| 1639597511 | Joy Kubinski | Counselor | 1530 Assisi Dr Nw, Rochester, MN 55901-1637 | 2014-03-28 |
| 1285057539 | Minnesota Teen Challenge, Inc. | Counselor | 1530 Assisi Dr Nw, Rochester, MN 55901 | 2014-01-22 |
| 1992095319 | Diann Irene Renaas | Counselor | 1530 Assisi Dr Nw, Rochester, MN 55901 | 2011-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1497303150 | Tatenda Valentine Rudziva | Nurse Practitioner | 2989 315 Elton Hills Drive Nw, Suite 201, Rochester, MN 55901 | 2019-08-27 |
| 1629566872 | Juan Simon Rico Mesa | Student in an Organized Health Care Education/Training Program | 4502 Medical Drive, San Antonio, 78229, San Antonio, TX 55901 | 2018-04-24 |
| 1336658277 | Minnesota Teen Challenge | Exclusive Provider Organization | 1542 Assisi Drive Nw, Rochester, MN 55901 | 2017-09-22 |
| 1235648270 | Mariah Adanene | Registered Nurse | 915 41st Street Nw, Rochester, MN 55901 | 2017-09-21 |
| 1912420639 | Anna Maria Schuman | Speech-Language Pathologist | 2746 Superior Drive Nw, Suite Number 150, Rochester, MN 55901 | 2017-07-25 |
| 1871013870 | Rhonda Keith | Counselor | 602 11th Avenue Nw #300, Rochester, MN 55901 | 2017-06-21 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1659810844 | Rx Team Home Health Care LLC | Home Health | 1027 7th St Nw Unit #204, Rochester, MN 55901 | 2017-02-21 |
| 1457713109 | Joshua Carter | Chiropractor | 3270 19th St Nw Ste 203, Rochester, MN 55901 | 2016-03-22 |
| Find all providers in zip 55901 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198707 | Erin Elizabeth Bachman | Counselor | 300 11th Ave Nw Ste 120, Rochester, MN 55901-2739 | 2020-09-15 |
| 1700405883 | Christa Caye Welbon | Counselor | 1530 Greenview Dr Sw Ste 109, Rochester, MN 55902-1080 | 2020-04-09 |
| 1477195659 | Wendy Kesby | Counselor | 33 Chestnut St Fl 1, Rochester, NY 14604-2303 | 2019-10-09 |
| 1568021103 | Carl Leslie Hatch-feir | Counselor | Delphi Rise, 835 West Main Street, Rochester, NY 14611-2335 | 2019-06-07 |
| 1427515873 | Yanny Tello | Counselor | 727 Saint Paul St, Rochester, NY 14605-1730 | 2019-02-21 |
| 1861956682 | Sonya Thomas | Counselor | Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 | 2019-01-25 |
| 1407337272 | Claudette Elisa Dones | Counselor | 14 Manitou St, Rochester, NY 14621-5609 | 2018-08-28 |
| 1225529704 | Hector Manuel Diaz | Counselor | 585 Joseph Ave Fl 1, Rochester, NY 14605-1215 | 2018-05-21 |
| 1518469162 | Magdimar Machado | Counselor | 18 Poplar Garden Ln Apt B, Rochester, NY 14606-4838 | 2018-02-28 |
| 1336640879 | Nicole Dale | Counselor | 130 Wakefield St, Rochester, NH 03867-1305 | 2018-02-21 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on MR. MICHAEL WILLIAM MAHONEY.
| 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.