Individual provider Active NPI

Kaitlyn Masai, PH.D.

  • Psychologist
  • Phoenix, AZ
National Provider Identifier
1629491907
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
5040 N 15TH Ave FL 2
Phoenix, AZ 85015-3328
Phone
(602) 234-7164
NPI assigned
Jan 22, 2014
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

5040 N 15TH Ave FL 2
Phoenix, AZ 85015-3328

Mailing address

6738 E Osborn Rd Apt 3
Scottsdale, AZ 85251-6179
Phone (602) 899-7860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 26, 2024 through Mar 26, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

Interoperability endpoints

  • Direct secure messaging: kaitlyn.masai.1@22601.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1629491907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6738 E OSBORN RD APT 3",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516179",
            "telephone_number": "602-899-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 N 15TH AVE FL 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153328",
            "telephone_number": "602-234-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASAI",
        "first_name": "KAITLYN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.