Re' Mason, PH.D., MAC, CAP

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

CAP 117 Issued in FL

Practice address

8695 College Pkwy
Suit 252
Fort Myers, FL 33919-4890

Phone

(239) 489-4705

Fax

(239) 489-2732

NPI assigned

Apr 24, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1316112956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8695 COLLEGE PKWY",
            "address_2": "SUIT 252",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194890",
            "telephone_number": "239-489-4705",
            "fax_number": "239-489-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8695 COLLEGE PKWY",
            "address_2": "SUIT 252",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194890",
            "telephone_number": "239-489-4705",
            "fax_number": "239-489-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "RE'",
        "name_prefix": "Dr.",
        "credential": "PH.D., MAC, CAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP 117",
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MAC 500085",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odalisca Marzullo
• Carrie L Masch, CRNA
• Kaylee Rae Mashburn, PA-C
• Jaclyn Mason, APRN
• Keri Lyn Mason, D.O.
• Susan C Mason, APRN
• Alanna Masony, MSW
• Massage for Healthy Living, Inc.
• Massage Lofts Florida LLC
• Emily Massaro, APRN

• Addiction (Substance Use Disorder) Psychologist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Addiction (Substance Use Disorder) Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.