Provider Demographics
NPI:1992395016
Name:MCMAHON, THOMAS J (APRN, PMHNP-BC)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:J
Last Name:MCMAHON
Suffix:
Gender:M
Credentials:APRN, PMHNP-BC
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Mailing Address - Street 1:820 S MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-3216
Mailing Address - Country:US
Mailing Address - Phone:513-887-8500
Mailing Address - Fax:513-737-8196
Practice Address - Street 1:820 S MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-3216
Practice Address - Country:US
Practice Address - Phone:513-887-8500
Practice Address - Fax:513-737-8196
Is Sole Proprietor?:No
Enumeration Date:2021-01-22
Last Update Date:2022-05-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0028257363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health