Individual provider Active NPI

H. Keith Massel, PH.D.

  • Psychologist
  • Newhall, CA
National Provider Identifier
1558616201
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY11229 Issued in CA
Practice address
23030 Lyons Ave Ste 200
Newhall, CA 91321-2754
Phone
(661) 425-7066
Fax
(805) 299-4505
NPI assigned
Jul 18, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X 1-17-25003 CA
Psychologist 103T00000X PSY11229 CA Primary

Addresses

Primary practice location

23030 Lyons Ave Ste 200
Newhall, CA 91321-2754

Mailing address

3905 State St Ste 7-276
Santa Barbara, CA 93105-3138
Phone (661) 425-7066

Other practice location 1

317 W Main St Ste 311
Alhambra, CA 91801-7403
Phone (661) 425-7066

Other identifiers 1

IdentifierTypeStateIssuer
PSY11229OtherCAPSYCHOLOGIST LICENSE

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY11229CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Psychological Center, Inc Psychologist CurrentSince May 10, 2020 Accepting new patients
Vista Psychological Center Inc Behavior Analyst CurrentSince May 10, 2020 Accepting new patients

Locations

317 W Main St
Ste 311
Alhambra, CA 91801
Phone (661) 425-7066

3905 State St
Ste 7276
Santa Barbara, CA 93105

2922 De la Vina St
Ste C
Santa Barbara, CA 93105
Phone (213) 503-0988

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1558616201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 STATE ST STE 7-276",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053138",
            "telephone_number": "661-425-7066",
            "fax_number": "805-299-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23030 LYONS AVE STE 200",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212754",
            "telephone_number": "661-425-7066",
            "fax_number": "805-299-4505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 W Main St Ste 311",
            "address_purpose": "LOCATION",
            "city": "Alhambra",
            "state": "CA",
            "postal_code": "918017403",
            "country_code": "US",
            "telephone_number": "661-425-7066",
            "fax_number": "805-299-4505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSEL",
        "first_name": "H. KEITH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-18",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-17-25003",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY11229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "PSY11229",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newhall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.