Organization Active NPI

Gayle P Masterson, MD, PLC

  • Adult Mental Health Clinic/Center
  • Tucson, AZ
National Provider Identifier
1487312302
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
GAYLE P MASTERSON, MD, PLC
Practice address
6280 E Pima St Ste 110
Tucson, AZ 85712-3074
Phone
(520) 229-0585
NPI assigned
Dec 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Dr. Gayleq P Masterson, MD
Title
Member of LLC, Owner, Physician
Phone
(520) 229-0585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

6280 E Pima St Ste 110
Tucson, AZ 85712-3074

Mailing address

6280 E Pima St Ste 110
Tucson, AZ 85712-3074
Phone (520) 229-0585

Other identifiers 1

IdentifierTypeStateIssuer
1063626125OtherAZNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL PracticeFusion Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1487312302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 E PIMA ST STE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123074",
            "telephone_number": "520-229-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 E PIMA ST STE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123074",
            "telephone_number": "520-229-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAYLE P MASTERSON, MD, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "MASTERSON",
        "authorized_official_first_name": "GAYLEQ",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEMBER OF LLC, OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "520-229-0585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063626125",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PracticeFusion",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6280 E Pima St Ste 110",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857123074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.