Individual provider Active NPI

Helen R Mason, MD

  • Psychologist
  • Newberry, SC
National Provider Identifier
1376550087
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4825 Issued in SC
Practice address
2043 Medical Park Dr
Newberry, SC 29108-2249
Phone
(803) 276-8000
Fax
(803) 276-6669
NPI assigned
Aug 2, 2006
Last updated
Mar 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4825 SC Primary

Addresses

Primary practice location

2043 Medical Park Dr
Newberry, SC 29108-2249

Mailing address

2043 Medical Park Dr
Newberry, SC 29108-2249
Phone (803) 276-8000

Other identifiers 1

IdentifierTypeStateIssuer
421504MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4825SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Parish Human Services Authority PastSince Feb 24, 2022 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients
Jefferson Parish Human Services Authority PastSince Jul 24, 2022 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients
Jefferson Parish Human Services Authority PastSince Feb 24, 2022 Accepting new patients

Organizations & group practices 5

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1376550087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 MEDICAL PARK DR",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082249",
            "telephone_number": "803-276-8000",
            "fax_number": "803-276-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 MEDICAL PARK DR",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082249",
            "telephone_number": "803-276-8000",
            "fax_number": "803-276-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "HELEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "SC",
            "license": "4825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421504",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.