Michael Lee Mason, PHD
Individual provider Active NPI Clinical Psychologist · Great Falls, MT
NPI 1740202068 · NPPES record last updated Jun 2, 2009
Key facts
- NPI
- 1740202068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 310 (MT)
- Practice address
- 915 1St Ave S
Center for Mental Health
Great Falls, MT 59401-3705 - Phone
- (406) 791-9504
- Fax
- (406) 761-0554
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310 | MT | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Mental Health | Past |
Accepting new patients | |
| Center for Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 310 | MT | Yes |
Addresses
Primary practice location
915 1St Ave S
Center for Mental Health
Great Falls, MT 59401-3705
Mailing address
2712 Alamo Dr
Great Falls, MT 59404-3734
Phone (406) 727-0041
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000051481 | Other | MT | BLUE CROSS/SHIELD OF MT |
Other providers in Great Falls, MT
- Traci Lynn Martin
- Delana Nicole Martinez
- Jessica Elaine Martinez
- Rafael Martinez
- Ali Marzooq
- Christine Masters
- Marilyn Kae Mathern
- Meghan Mathes
- Nicholas Arthur Mathias
- Robert James Mathison
All providers in Great Falls, MT · Clinical Psychologist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.