Nicole Justine Massey-Hastings, PSYD, LCP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008745 Issued in IL

Practice address

15 Spinning Wheel Rd Ste 116
Hinsdale, IL 60521-2983

Phone

(630) 708-0362

NPI assigned

Mar 7, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Nicole Justine Massey Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dr Hastings and Associates LLCGroup PAC ID 0143597229, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Dr. Hastings & Associates LLC

  • Mental Health Counselor
  • Hinsdale, IL
  • NPI 1841623600
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1609174192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SPINNING WHEEL RD STE 116",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212983",
            "telephone_number": "630-708-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SPINNING WHEEL RD STE 116",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212983",
            "telephone_number": "630-708-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY-HASTINGS",
        "first_name": "NICOLE",
        "middle_name": "JUSTINE",
        "name_prefix": "Dr.",
        "credential": "PSYD, LCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-07",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.008385",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MASSEY",
            "middle_name": "JUSTINE",
            "prefix": "DR.",
            "credential": "PSYD, LCP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Blythe Judith Hamilton Maruyama, LCSW
• Helen Michelle Marxen
• Mary Barry and Associates, LLC
• Maryam Golshani DDS PLLC
• Andrew Martin Marz, DO
• Allison Lea Massey
• Audrey Mast, LCPC
• Margaret Mary Masterson, PT
• Paige H Mastro, PSYD
• Gina Thresia Mathew, NP

• Clinical Psychologist in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.