Mason S. Maulsby, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

ARNP2158002 Issued in FL

Practice address

3460 Depew Ave
Allied Center for Therapy
Port Charlotte, FL 33952

Phone

(941) 764-6300

Fax

(941) 764-7297

NPI assigned

Oct 20, 2009

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Beacon Clinic, Inc.

  • Mental Health Counselor
  • Port Charlotte, FL
  • NPI 1194803734
  NPD (past)
• CGR Beacon Clinic, PA

  • Professional Counselor
  • Port Charlotte, FL
  • NPI 1841220811
  NPD (past)
• Seabreeze Behavioral Medicine PA

  • Psychiatry Physician
  • Port Charlotte, FL
  • NPI 1104811272
  NPD (past)
• Seabreeze Behavioral Medicine PA

  • Psychiatry Physician
  • Cape Coral, FL
  • NPI 1912912874
  NPD (past)

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359676800000",
    "number": "1083940472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510298",
            "address_2": "ALLIED CENTER FOR THERAPY / MANUEL GALLEGO MD PA",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "33951",
            "telephone_number": "941-764-6300",
            "fax_number": "941-764-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 DEPEW AVE",
            "address_2": "ALLIED CENTER FOR THERAPY",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "33952",
            "telephone_number": "941-764-6300",
            "fax_number": "941-764-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULSBY",
        "first_name": "MASON",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2013-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP2158002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evisencia G Mathurin, DNP
• Matthew Bagan DO PA
• Thomas Matthews
• Lisa A Mattingly, MD
• Sarai Matzicoff Pena
• Arlen Maunahan
• Margaret G Mayo, MD
• Walter Mazeiko Jr., HAS
• Bennett William McAllister, MD
• Bonnie Ann McAlonan, PHARMD

• Psychiatric/Mental Health Nurse Practitioner in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.