Active NPI
John Anthony Mascaro, PHD
- Marriage & Family Therapist
- Kamuela, HI
National Provider Identifier
1568618882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT-199
- 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, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 790172 | Medicaid | HI |
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 |
|---|---|---|---|
| MFT-199 | HI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Mascaro PHD | Marriage & Family Therapist | Current | 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.
-
- Marriage & Family Therapist
- Kamuela, HI
- NPI 1962156547
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.