Individual provider Active NPI

Benjamin T Mast, PH.D.

  • Clinical Psychologist
  • Louisville, KY
National Provider Identifier
1306011671
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
KY-1464 Issued in KY
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

Updated by the provider on May 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081022000626 KY Practitioner - Clinical Psychologist 0547328304 Reassigns benefits to 2 organizations

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 100Reported as group
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

LicenseStateTypeSpecialty
KY-1464KYMDClinical Psychologist
1464KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mast Memory and Psychological Services Clinical CurrentSince Jul 31, 2024 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince May 29, 2020 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.

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

Verify at the official NPI Registry.