Deshelle Mason

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

1945 Wilson Ave
Calumet City, IL 60409-2972

Phone

(708) 477-2995

NPI assigned

Mar 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1356808984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 W 43RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606093103",
            "telephone_number": "773-826-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 WILSON AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604092972",
            "telephone_number": "708-477-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "DESHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalka A Manastersky, OD
• Yolanda Manson-Walker
• Mantis Dentistry
• Manzoor Hussain Shah M.D.S.C
• Lavenita Martin
• Jessica Ann Massucci, M.S.CCC-SLP
• Josselyn Matthews, PHARM.D
• Natasha Matthews
• Kimberly Lynetta McCarter
• Carol A McDonough, PH.D.

• Developmental Therapist in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.