Active NPI
Tanika Masse
- School Psychologist
- Fresh Meadow, NY
National Provider Identifier
1205215084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 69-09A 186 Lane
Fresh Meadow, NY 11365 - Phone
- (347) 285-9871
- NPI assigned
- May 26, 2015
- Reactivated
- Jul 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| School Psychologist | 103TS0200X | NY | ||
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
69-09A 186 Lane
Fresh Meadow, NY 11365
Mailing address
535 8TH Ave FL 2
New York, NY 10018-4332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 16, 2024 through Feb 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uptown Psychology, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- New York, NY
- NPI 1063366029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1205215084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 8TH AVE FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100184332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69-09A 186 LANE",
"city": "FRESH MEADOW",
"state": "NY",
"postal_code": "11365",
"telephone_number": "347-285-9871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSE",
"first_name": "TANIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-26",
"last_updated": "2018-07-26",
"deactivation_date": "2017-08-25",
"reactivation_date": "2018-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresh Meadow, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.