Individual provider Active NPI

Caron Langan Mastrone, PH.D.

  • Clinical Psychologist
  • Mobile, AL
National Provider Identifier
1366571655
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1023 Issued in AL
Practice address
2450A Old Shell Rd
Mobile, AL 36607-3020
Phone
(251) 478-3044
Fax
(251) 476-9055
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1023 AL Primary

Addresses

Primary practice location

2450A Old Shell Rd
Mobile, AL 36607-3020

Mailing address

2450A Old Shell Rd
Mobile, AL 36607-3020
Phone (251) 478-3044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20130828000433 AL Practitioner - Clinical Psychologist 4789827478 Practice locations: Mobile, AL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1023ALMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ogden and Epker, LLC Clinical Past Accepting new patients
Laura G Goulden PHD LLC Clinical PastSince Jan 17, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366571655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450A OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073020",
            "telephone_number": "251-478-3044",
            "fax_number": "251-476-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450A OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073020",
            "telephone_number": "251-478-3044",
            "fax_number": "251-476-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTRONE",
        "first_name": "CARON",
        "middle_name": "LANGAN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.