Active NPI
Edward Mason, N/A
- Mental Health Counselor
- Staten Island, NY
National Provider Identifier
1598126187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 777 Seaview Ave South Beach Psychiatric Center
Health Home Care Dept
Staten Island, NY 10305 - Phone
- (718) 668-8158
- Fax
- (718) 668-8070
- NPI assigned
- Mar 10, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
777 Seaview Ave South Beach Psychiatric Center
Health Home Care Dept
Staten Island, NY 10305
Mailing address
777 Seaview Ave South Beach Psychiatric Center
Health Home Care Dept
Staten Island, NY 10305
Phone (718) 668-8158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00769306 | Medicaid | NY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1598126187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 SEAVIEW AVE SOUTH BEACH PSYCHIATRIC CENTER",
"address_2": "HEALTH HOME CARE DEPT",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10305",
"telephone_number": "718-668-8158",
"fax_number": "718-668-8070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 SEAVIEW AVE SOUTH BEACH PSYCHIATRIC CENTER",
"address_2": "HEALTH HOME CARE DEPT",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10305",
"telephone_number": "718-668-8158",
"fax_number": "718-668-8070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "EDWARD",
"credential": "N/A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-10",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00769306",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.