Individual provider Active NPI

Luke Mason, PHD

  • Psychologist
  • Allentown, PA
National Provider Identifier
1740680438
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS019512 Issued in PA
Practice address
961 Marcon Blvd Ste 312
Allentown, PA 18109-9373
Phone
(610) 266-0610
NPI assigned
Aug 29, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS019512 PA Primary

Addresses

Primary practice location

961 Marcon Blvd Ste 312
Allentown, PA 18109-9373

Mailing address

961 Marcon Blvd Ste 312
Allentown, PA 18109-9373
Phone (610) 266-0610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20221013000084 PA Practitioner - Clinical Psychologist 2769858976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

2401 Northampton St
Suite 130 and 140
Easton, PA 18045-2764
Phone (484) 591-7420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 25, 2022 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 25, 2022 Accepting new patients
Glenn R. Koch & Associates, LLC CurrentSince Apr 30, 2024 Accepting new patients
Glenn R Koch and Associates Inc PastSince Feb 24, 2022 Accepting new patients

Locations

961 Marcon Blvd
Ste 312
Allentown, PA 18109
Phone (610) 266-0610

2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892

2401 Northampton St
Ste 130
Easton, PA 18045
Phone (484) 591-7420

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1740680438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 MARCON BLVD STE 312",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181099373",
            "telephone_number": "610-266-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 MARCON BLVD STE 312",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181099373",
            "telephone_number": "610-266-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-29",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS019512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.