A Port in a Storm LLC
Organization Active NPI Clinical Psychologist · Taos, NM
NPI 1174909964 · NPPES record last updated Nov 14, 2025
Key facts
- NPI
- 1174909964
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 0858 (NM)
- Legal business name
- A PORT IN A STORM LLC
- Practice address
- 1337 Gusdorf Rd Ste H
Taos, NM 87571-6297 - Phone
- (575) 737-9352
- Fax
- (575) 737-5054
- NPI assigned
- Aug 4, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Page S Mastor, PHD
- Title
- Clinical Psychologist
- Phone
- (575) 737-9352
Practitioners 1
-
Page Schaper Mastor, PHD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251114002183 | NM | Part B Supplier - Clinic/Group Practice | 0042701377 |
Receives reassigned benefits from 1 practitioner Practice locations: Taos, NM |
National Provider Directory
Locations
208 Paseo del Pueblo Sur
Unit 101
Taos, NM 87571
Phone (575) 224-1526
1337 Gusdorf Rd
Ste H
Taos, NM 87571
Phone (505) 758-2961
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | 0858 | NM | Yes |
Addresses
Primary practice location
1337 Gusdorf Rd Ste H
Taos, NM 87571-6297
Mailing address
1337 Gusdorf Rd Ste H
Taos, NM 87571-6297
Phone (575) 737-9352
Other providers in Taos, NM
- 1918 Winter Street Operating Co LLC
- Charlene Yvette Abeyta Vigil
- Dominique Abeyta
- Michelle M Abeyta
- Tanya Amberly Abeyta
- Chloe Marie Abreu
All providers in Taos, NM · Clinical Psychologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.