Active NPI
Scott Bernard Massaro, PSYCHOLOGIST
- Clinical Psychologist
- Clovis, NM
National Provider Identifier
1366439614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY6532
- Practice address
- 208 Casablanca
Cannon Afb Building 1400
Clovis, NM 88103-5014 - Phone
- (505) 784-6608
- Fax
- (505) 784-6028
- NPI assigned
- Oct 3, 2005
- Sex
- Male
- Sole proprietor
- No
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 | PY6532 | FL | Primary |
Addresses
Primary practice location
208 Casablanca
Cannon Afb Building 1400
Clovis, NM 88103-5014
Mailing address
208 Casablanca
Cannon Afb Building 1400
Clovis, NM 88103-5014
Phone (505) 784-6608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
807 Coral Ridge Dr
Coral Springs, FL 33071-4180
Phone (954) 755-0909
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY6532 | FL | MD | Clinical Psychologist |
Organizations & group practices 1
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 Neuropsychologist
- Coral Springs, FL
- NPI 1326165655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1366439614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 CASABLANCA",
"address_2": "CANNON AFB BUILDING 1400",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881035014",
"telephone_number": "505-784-6608",
"fax_number": "505-784-6028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 CASABLANCA",
"address_2": "CANNON AFB BUILDING 1400",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881035014",
"telephone_number": "505-784-6608",
"fax_number": "505-784-6028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSARO",
"first_name": "SCOTT",
"middle_name": "BERNARD",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY6532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.