Active NPI
H. Keith Massel, PH.D.
- Psychologist
- Newhall, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY11229
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY11229 | Other | CA | PSYCHOLOGIST 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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY11229 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vista Psychological Center, Inc | Psychologist | Current | Accepting new patients |
| Vista Psychological Center Inc | Behavior Analyst | Current | 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.
-
- Community/Behavioral Health Agency
- Newhall, CA
- NPI 1619235710
Behavior Analyst
-
- Psychologist
- Newhall, CA
- NPI 1053487090
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.