Alicia Mascho, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

020492 Issued in NY

Practice address

258 W 22ND St
#2G
New York, NY 10011-2703

Phone

(929) 400-7123

NPI assigned

Dec 25, 2012

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

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

{
    "created_epoch": "1356393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1205172004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 W 22ND ST",
            "address_2": "#2G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 W 22ND ST",
            "address_2": "#2G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112703",
            "telephone_number": "929-400-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCHO",
        "first_name": "ALICIA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-25",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Mascari, MD
• Norma Santa Iglesia Mascarinas
• Veronica Mascasullo, M.D.
• Rachel J. Masch, M.D.
• Rachel Emily Maschler Davydov
• Kira Mascho, MD
• Khumo Masege, MHC-LP
• Nicole Maselli, LMHC
• Elana Anne Maser, M.D.
• Isabella Maserejian

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.