Active NPI
Mark Mason, PHD
- Counseling Psychologist
- Newark, DE
National Provider Identifier
1821810631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- B1-1024
- Practice address
- 65 E Shady Dr
Newark, DE 19713-2859 - Phone
- (585) 738-7599
- NPI assigned
- Oct 31, 2024
- Last updated
- Oct 31, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | B1-1024 | DE | Primary |
Addresses
Primary practice location
65 E Shady Dr
Newark, DE 19713-2859
Mailing address
65 E Shady Dr
Newark, DE 19713-2859
Phone (585) 738-7599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B1-1024 | DE | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1821810631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 E SHADY DR",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132859",
"telephone_number": "585-738-7599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 E SHADY DR",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132859",
"telephone_number": "585-738-7599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "MARK",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-31",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "DE",
"license": "B1-1024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.