Active NPI
Angela Masini, PHD
- Psychologist
- Knoxville, TN
National Provider Identifier
1295889061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- P000238
- Practice address
- 4877 Chambliss Avenue
Knoxville, TN 37919 - Phone
- (865) 588-1923
- Fax
- (865) 584-7487
- NPI assigned
- Jan 22, 2007
- 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 | P000238 | TN | Primary |
Addresses
Primary practice location
4877 Chambliss Avenue
Knoxville, TN 37919
Mailing address
4877 Chambliss Avenue
Knoxville, TN 37919
Phone (865) 588-1923
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120425000113 | TN | Practitioner - Clinical Psychologist | 0042472821 | Practice locations: Knoxville, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1111 N Northshore Dr
Suite 490
Knoxville, TN 37919-4054
Phone (865) 280-2945
4877 Chambliss Ave
Knoxville, TN 37919-5122
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P000238 | TN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295889061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4877 CHAMBLISS AVENUE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37919",
"telephone_number": "865-588-1923",
"fax_number": "865-584-7487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4877 CHAMBLISS AVENUE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37919",
"telephone_number": "865-588-1923",
"fax_number": "865-584-7487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASINI",
"first_name": "ANGELA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TN",
"license": "P000238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
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.
- 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.