Organization Active NPI

Joshua M. Masino, Psy.D., LLC

  • Clinical Neuropsychologist
  • Alpharetta, GA
National Provider Identifier
1760609259
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
003043 Issued in GA
Legal business name
JOSHUA M. MASINO, PSY.D., LLC
Practice address
1071 Cambridge SQ
Suite E
Alpharetta, GA 30004-1843
Phone
(404) 242-8188
Fax
(378) 393-8637
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joshua Myles Masino, PSY.D.NPI 1295800357
Title
Owner
Phone
(404) 242-8188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 003043 GA Primary

Addresses

Primary practice location

1071 Cambridge SQ
Suite E
Alpharetta, GA 30004-1843

Mailing address

1071 Cambridge SQ
Suite E
Alpharetta, GA 30004-1843
Phone (404) 242-8188

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760609259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 CAMBRIDGE SQ",
            "address_2": "SUITE E",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300041843",
            "telephone_number": "404-242-8188",
            "fax_number": "378-393-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 CAMBRIDGE SQ",
            "address_2": "SUITE E",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300041843",
            "telephone_number": "404-242-8188",
            "fax_number": "378-393-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA M. MASINO, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASINO",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "MYLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-242-8188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "GA",
            "license": "003043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.