Macmaster Psychiatric Services a Professional Nursing Corporation

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

Legal business name

MACMASTER PSYCHIATRIC SERVICES A PROFESSIONAL NURSING CORPORATION

Practice address

1510 S Barker St
Mountain House, CA 95391-1473

Phone

(559) 776-8864

NPI assigned

Jun 4, 2026

Last updated

Jun 4, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacob Martin Macmaster, PMHNPNPI 1205636354

Title

Owner

Phone

(559) 776-8864

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob Martin Macmaster, PMHNP IN PROGRESS

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
  • NPI 1205636354
  NPD Authorized official

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

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1174456883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 S BARKER ST",
            "city": "MOUNTAIN HOUSE",
            "state": "CA",
            "postal_code": "953911473",
            "telephone_number": "559-776-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S BARKER ST",
            "city": "MOUNTAIN HOUSE",
            "state": "CA",
            "postal_code": "953911473",
            "telephone_number": "559-776-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACMASTER PSYCHIATRIC SERVICES A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "MACMASTER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-776-8864",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bindu Kochuparambil, NURSE PRACTITIONER
• Amy Lam
• Lammersville Unified District
• Beryl Levy
• Serafin Lomeli Jr., PPS CREDENTIAL
• Malhotra and Chitturi Medical Corp (Assure Primary and Urgent Care)
• Deepali Malla
• Charlotte Mary Mallard
• Vanesa Martinez Pena
• Bibi Khatira Masoomi

• Geriatric Psychiatry Physician in Mountain House, CA
• Providers in Mountain House, CA by specialty
• Geriatric Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.