Active NPI
Benjamin T Mast, PH.D.
- Clinical Psychologist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- KY-1464
- Practice address
- 204 E Market St
Louisville, KY 40202-1218 - Phone
- (502) 588-4340
- NPI assigned
- Apr 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | KY-1464 | KY | Primary |
Addresses
Primary practice location
204 E Market St
Louisville, KY 40202-1218
Mailing address
PO Box 909
Louisville, KY 40201-0909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 E Muhammad Ali Blvd
Louisville, KY 40202-1511
Phone (502) 852-5466
6000 Brownsboro Park Blvd
Suite G
Louisville, KY 40207-7201
Phone (502) 632-7817
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.96 of 100
- Quality
- 56.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-1464 | KY | MD | Clinical Psychologist |
| 1464 | KY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mast Memory and Psychological Services | Clinical | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients |
Locations
6000 Brownsboro Park Blvd
Ste G
Louisville, KY 40207
Phone (502) 632-7817
204 E Market St
Louisville, KY 40202
Phone (502) 588-4340
215 Central Ave
Ste 100
Louisville, KY 40208
Phone (502) 588-8720
1941 Bishop Ln
Ste 900
Louisville, KY 40218
Phone (502) 588-2500
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
301 E Muhammad Ali Blvd
Louisville, KY 40202
Phone (502) 852-0710
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Louisville, KY
- NPI 1366272106
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
- Family Medicine Physician
- Louisville, KY
- NPI 1386910917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590710400000",
"number": "1306011671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 909",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402010909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 E MARKET ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021218",
"telephone_number": "502-588-4340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAST",
"first_name": "BENJAMIN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-28",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "KY-1464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.