ANNETTE MAHONEY (PH.D.) – Clinical Psychologist, NPI 1215140421

ANNETTE MAHONEY (PH.D.) is a healthcare provider. based in Bowling green, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 4879 (OH). The NPI Number for ANNETTE MAHONEY (PH.D.) is 1215140421

Main info

Female
Sole Proprietor
34 Years Of Experience
Name
ANNETTE MAHONEY (PH.D.)
NPI
1215140421
Phone
(419) 308-4070
Address
16307 W POE RD
Enumeration Date
7 May 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4192658206
Graduation Year
1992 (34 years ago)
PAC ID
3173951498
Group Practice PAC ID
6507198199
Professional Enrollment ID
I20230707001235
Address ID
OH435515236PE1070XDRXX303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,144 CLINICAL PSYCHOLOGIST in OH

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Provider Addresses for ANNETTE MAHONEY (PH.D.)

  • West Poe Road, The Village, Bowling Green, Wood County, Ohio, 43402, United States

    BOWLING GREEN, OH 434028715

    Phone: (419) 308-4070

    Fax: (419) 372-6013

    Type: Mailing

  • 1941, Carlin Street, Findlay, Hancock County, Ohio, 45840, United States

    FINDLAY, OH 458401460

    Phone: (419) 422-8616

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-07

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230707001235IClinical PsychologistOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43402)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507198199View full group profile
NameSpecialtyState
Clinical PsychologistOH
Clinical PsychologistOH
Clinical Social WorkerOH
Clinical Social WorkerOH
-OH
Mental Health CounselorOH
Clinical PsychologistOH

Reviews

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Frequently asked questions

What is the standard ID for ANNETTE MAHONEY (PH.D.) in the U.S.?
In the U.S., ANNETTE MAHONEY (PH.D.) is identified by NPI 1215140421.
Should I treat ANNETTE MAHONEY (PH.D.) as an active provider?
Patients and plans typically see ANNETTE MAHONEY (PH.D.) as active in the national extract.
What type of care does ANNETTE MAHONEY (PH.D.) provide?
ANNETTE MAHONEY (PH.D.)'s profile centers on Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Can patients visit ANNETTE MAHONEY (PH.D.) in Bowling Green, Ohio?
For routing, start with Bowling Green, Ohio for ANNETTE MAHONEY (PH.D.), then verify phone and hours locally.
Can I export ANNETTE MAHONEY (PH.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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