Phillip Michael Massad, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1005 Issued in OK

Practice address

416 NW 38TH St
Oklahoma City, OK 73118-8412

Phone

(405) 528-1487

Fax

(405) 521-0019

NPI assigned

Aug 9, 2006

Last updated

Jun 6, 2012By the provider in NPPES

Sex

Male

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 OK

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

Specialty

Clinical Psychologist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1205846433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 NW 38TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731188412",
            "telephone_number": "405-528-1487",
            "fax_number": "405-521-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 NW 38TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731188412",
            "telephone_number": "405-528-1487",
            "fax_number": "405-521-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSAD",
        "first_name": "PHILLIP",
        "middle_name": "MICHAEL",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "1005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carson Sage Masri
• Samir Masri
• Gary Lloyd Massad, MD
• Kayley Massad, RD
• Lauren E Massad
• Breanah Massengale, RBT
• Tracy L Massengale, ARNP
• Courtney Nicole Massey, DO
• Edna Massey
• Justin Massey

• Clinical Psychologist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Clinical Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.