DR. ANTHONY MCMAHON (PH.D.) – Clinical Psychologist, NPI 1578965109

DR. ANTHONY MCMAHON (PH.D.) is a healthcare provider. based in Mentor, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 6301016017 (MI). The NPI Number for DR. ANTHONY MCMAHON (PH.D.) is 1578965109

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANTHONY MCMAHON (PH.D.)
NPI
1578965109
Phone
(440) 266-0770
Address
8701 MENTOR AVE
Enumeration Date
26 September 2014
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
7719211978
Group Practice PAC ID
6507921046
Professional Enrollment ID
I20190624000345
Address ID
OH440606103Me8701XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:11State licenses:2Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

Provider Addresses for DR. ANTHONY MCMAHON (PH.D.)

  • 8701 MENTOR AVE

    MENTOR, OH 440606103

    Phone: (440) 266-0770

    Fax: (440) 266-0257

    Type: Mailing

  • 79 W Alexandrine St

    Detroit, MI 482012015

    Phone: (313) 831-5535

    Fax: (313) 831-2608

    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: 2019-06-24

PECOS data refreshed: 2026-05-27

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
I20190624000345IClinical 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 44060)

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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: 6507921046View full group profile

Reviews

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Frequently asked questions

What is DR. ANTHONY MCMAHON (PH.D.)'s NPI number?
DR. ANTHONY MCMAHON (PH.D.)'s NPI is 1578965109 — the number used across U.S. healthcare to identify this provider.
Would DR. ANTHONY MCMAHON (PH.D.) appear as active to a payer?
You can treat DR. ANTHONY MCMAHON (PH.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. ANTHONY MCMAHON (PH.D.)'s focus?
For DR. ANTHONY MCMAHON (PH.D.), the primary taxonomy reads as Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. ANTHONY MCMAHON (PH.D.)?
Directory geography for DR. ANTHONY MCMAHON (PH.D.) centers on Mentor, Ohio.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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