Mast Memory and Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MAST MEMORY AND PSYCHOLOGICAL SERVICES

Practice address

6000 Brownsboro Park Blvd Ste G
Louisville, KY 40207-7201

Phone

(502) 632-7817

Fax

(502) 721-0333

NPI assigned

Aug 6, 2024

Organization subpart

No

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

Authorized official

Name

Benjamin T. Mast, PHD, ABPPNPI 1306011671

Title

Clinical Psychologist

Phone

(502) 632-7817

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin T Mast, PH.D.

  • Clinical Psychologist
  • Louisville, KY
  • NPI 1306011671
  Medicare reassignment NPD Authorized official
• Kathleen Smith

  • Psychologist
  • Louisville, KY
  • NPI 1548273741
  NPD
• Bruce J Tasch, M.D.

  • Psychiatry Physician
  • Louisville, KY
  • NPI 1396726675
  NPD (past)

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1366272106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 BROWNSBORO PARK BLVD STE G",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402077201",
            "telephone_number": "502-632-7817",
            "fax_number": "502-721-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 BROWNSBORO PARK BLVD STE G",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402077201",
            "telephone_number": "502-632-7817",
            "fax_number": "502-721-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAST MEMORY AND PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "MAST",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "502-632-7817",
        "authorized_official_credential": "PHD, ABPP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Neal Massey, MD (INACTIVE) TCADC
• Mary Theresa Massey, APRN
• Miranda Brook Massey, MS, OTR/L
• Annice Rose Massie, IBCLC
• Laura Massie, APRN
• Benjamin T Mast, PH.D.
• Logan E Mast, M.D.
• Adrianna Henson Masters, MD, PHD
• Eric Benjamin Masters, M.D.
• Joan Masters

• Clinical Psychologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.