Janelle Lynn Mason, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004787 Issued in VA

Practice address

2580 Potters Rd
Virginia Beach, VA 23454-4324

Phone

(757) 498-9391

NPI assigned

May 29, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Janelle Anderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1578900759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2268 CALVERT ST",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511740",
            "telephone_number": "757-377-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 POTTERS RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544324",
            "telephone_number": "757-498-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "JANELLE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANELLE",
            "last_name": "ANDERSON",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maryview Hospital (Bon Secours Home Oxygen)
• Maria Marzoa, R.PH.
• Teofilo Cano Mascarinas Jr., MD
• Michael Mascolo, SLP
• Hildreth Mason-Leon, CERTIFIED NURSE PRAC
• Jon D Mason, MD
• Mary E. Mason, MD
• Pamela Mason
• Richard Mason Jr., LPC
• Sally Ross Mason

• Clinical Psychologist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.