Individual provider Active NPI

John Anthony Mascaro, PHD

  • Marriage & Family Therapist
  • Kamuela, HI
National Provider Identifier
1568618882
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT-199 Issued in HI
Practice address
65-1231 Opelo Rd Ste 4
Kamuela, HI 96743-8376
Phone
(808) 989-1503
Fax
(808) 356-0200
NPI assigned
Aug 18, 2008
Last updated
Feb 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT-199 HI Primary

Addresses

Primary practice location

65-1231 Opelo Rd Ste 4
Kamuela, HI 96743-8376

Mailing address

PO Box 384646
Waikoloa, HI 96738-4646
Phone (808) 226-7576

Other practice location 1

98-211 Pali Momi St Ste 810
Aiea, HI 96701-4377
Phone (808) 226-7576

Other identifiers 1

IdentifierTypeStateIssuer
790172MedicaidHI

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
MFT-199HIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
John Mascaro PHD Marriage & Family Therapist CurrentSince Feb 13, 2022 Accepting new patients

Locations

65-1231 Opelo Rd
Ste 4
Kamuela, HI 96743
Phone (808) 885-9668

Organizations & group practices 1

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": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1568618882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 384646",
            "city": "WAIKOLOA",
            "state": "HI",
            "postal_code": "967384646",
            "telephone_number": "808-226-7576",
            "fax_number": "808-356-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1231 OPELO RD STE 4",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438376",
            "telephone_number": "808-989-1503",
            "fax_number": "808-356-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98-211 Pali Momi St Ste 810",
            "address_purpose": "LOCATION",
            "city": "Aiea",
            "state": "HI",
            "postal_code": "967014377",
            "country_code": "US",
            "telephone_number": "808-226-7576",
            "fax_number": "808-356-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASCARO",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-18",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "MFT-199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790172",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamuela, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.