Jessica Michelle Mason, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY60106834 Issued in WA

Practice address

300 Admiral Way
Suite 209
Edmonds, WA 98020-7230

Phone

(425) 998-8632

NPI assigned

Jun 27, 2008

Last updated

Dec 5, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

Opted out of Medicare

Yes, effective Jul 1, 2014 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Snohomish Psychology Associates, PLLC

  • Clinical Psychologist
  • Everett, WA
  • NPI 1497178206
  NPD (past)

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1447412721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ADMIRAL WAY",
            "address_2": "SUITE 209",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980207230",
            "telephone_number": "425-998-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ADMIRAL WAY",
            "address_2": "SUITE 209",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980207230",
            "telephone_number": "425-998-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "JESSICA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60106834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Martinez
• Joseph N. Martinez, MD, PA-C, MPH
• Mariel Martinez
• Stephanie Susana Martinez
• Marvin R Nelson DDS
• Vicki Ann Mason, OT/L
• Michelle Elaine Massey, LICSW
• Theodore Raymond Matheny, MD
• Olivia Danielle Mathisen-Holloman, R.D.N.
• Andrea Matrone

• Clinical Psychologist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.