Michael R. Mason

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6776 Issued in OH

Practice address

6911 Belt Link Loop
Wesley Chapel, FL 33545-8206

Phone

(954) 558-4034

NPI assigned

Dec 13, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 17, 2023 through Mar 17, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Round Rock Square Hole PLLC

  • Clinical Psychologist
  • Round Rock, TX
  • NPI 1093427478
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1013190065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 BELT LINK LOOP",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335458206",
            "telephone_number": "954-558-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 BELT LINK LOOP",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335458206",
            "telephone_number": "954-558-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "MICHAEL",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-13",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gonzalo Martinez Jr.
• Javier Martinez, LCSW
• Jessica Marie Martinez, MS, LAT, ATC
• Marisa Martinez
• Nikole Martinez
• Veronica Massari
• Casiana Masse
• Carol Bernadee Massey-Graham
• Jacqueline Ashley Massey
• Makayla Massey

• Clinical Psychologist in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.