Active NPI
Terry Wayne Mason, PH.D.
- Clinical Psychologist
- Ames, IA
National Provider Identifier
1124554555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 00444
- Practice address
- 3705 Fletcher Blvd
Ames, IA 50010-4167 - Phone
- (515) 460-1318
- NPI assigned
- May 4, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 00444 | IA | |
| Clinical Psychologist | 103TC0700X | 00444 | IA | Primary |
Addresses
Primary practice location
3705 Fletcher Blvd
Ames, IA 50010-4167
Mailing address
3705 Fletcher Blvd
Ames, IA 50010-4167
Phone (515) 460-1318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00444 | IA | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1124554555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3705 FLETCHER BLVD",
"city": "AMES",
"state": "IA",
"postal_code": "500104167",
"telephone_number": "515-460-1318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3705 FLETCHER BLVD",
"city": "AMES",
"state": "IA",
"postal_code": "500104167",
"telephone_number": "515-460-1318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "TERRY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-04",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "IA",
"license": "00444",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IA",
"license": "00444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.