Organization Active NPI

A Port in a Storm LLC

  • Clinical Psychologist
  • Taos, NM
National Provider Identifier
1174909964
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0858 Issued in 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
Last updated
Nov 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Dr. Page S Mastor, PHDNPI 1902958416
Title
Clinical Psychologist
Phone
(575) 737-9352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0858 NM Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251114002183 NM Part B Supplier - Clinic/Group Practice 0042701377 Receives reassigned benefits from 1 practitioner
Practice locations: Taos, NM

National Provider Directory

National Provider Directory

Locations

1337 Gusdorf Rd
Ste H
Taos, NM 87571
Phone (505) 737-9352

208 Paseo del Pueblo Sur
Unit 101
Taos, NM 87571
Phone (575) 224-1526

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1174909964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 GUSDORF RD STE H",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716297",
            "telephone_number": "575-737-9352",
            "fax_number": "575-737-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 GUSDORF RD STE H",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716297",
            "telephone_number": "575-737-9352",
            "fax_number": "575-737-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PORT IN A STORM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "MASTOR",
        "authorized_official_first_name": "PAGE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "575-737-9352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "0858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.