Active NPI
Christine E Mason, PHD
- Clinical Psychologist
- Marietta, GA
National Provider Identifier
1063729390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY004377
- Practice address
- 175 White St NW Ste 100
Marietta, GA 30060-1054 - Phone
- (470) 793-0200
- NPI assigned
- Sep 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY004377 | GA | Primary |
| Mental Health Counselor | 101YM0800X | 12571 | CO |
Addresses
Primary practice location
175 White St NW Ste 100
Marietta, GA 30060-1054
Mailing address
805 Sandy Plains Road
Medical Staff Services
Marietta, GA 30066-6340
Other practice location 1
5500 S Sycamore St
Littleton, CO 80120-8201
Phone (303) 797-9440
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cmason372705@directwellstar.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12571 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drlullaby LLC | Current | Accepting new patients | |
| Drlullaby LLC | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Chicago, IL
- NPI 1598433898
-
- Clinic/Center
- North Miami Beach, FL
- NPI 1790499838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593648000000",
"number": "1063729390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 SANDY PLAINS ROAD",
"address_2": "MEDICAL STAFF SERVICES",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300666340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 WHITE ST NW STE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601054",
"telephone_number": "470-793-0200"
}
],
"practiceLocations": [
{
"address_1": "5500 S Sycamore St",
"address_purpose": "LOCATION",
"city": "Littleton",
"state": "CO",
"postal_code": "801208201",
"country_code": "US",
"telephone_number": "303-797-9440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASON",
"first_name": "CHRISTINE",
"middle_name": "E",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-08",
"last_updated": "2020-07-02",
"certification_date": "2020-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY004377",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "12571",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cmason372705@directwellstar.org",
"affiliation": "N",
"address_1": "175 White St NW Ste 100",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300601054",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.