Active NPI
Mildred Rosalie McMaster, PHD
- Psychologist
- Lawrence, KS
National Provider Identifier
1225129554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0883
- Practice address
- 2201 W 25TH St
Suite 0
Lawrence, KS 66047-2957 - Phone
- (785) 841-6446
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0883 | KS | Primary |
Addresses
Primary practice location
2201 W 25TH St
Suite 0
Lawrence, KS 66047-2957
Mailing address
2201 W 25TH St
Suite 0
Lawrence, KS 66044-8531
Phone (785) 841-6446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0883 | KS | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teakwood Psychological Resources, P.a. | Past | Accepting new patients | |
| John T Bopp PC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/19356/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Specialist
- Lawrence, KS
- NPI 1609098151
-
- Clinical Psychologist
- Kansas City, MO
- NPI 1447292180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225129554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 W 25TH ST",
"address_2": "SUITE 0",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660448531",
"telephone_number": "785-841-6446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 W 25TH ST",
"address_2": "SUITE 0",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660472957",
"telephone_number": "785-841-6446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMASTER",
"first_name": "MILDRED",
"middle_name": "ROSALIE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KS",
"license": "0883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.