Active NPI
Jessica Katherine Masty, PH.D.
- Psychologist
- New York, NY
National Provider Identifier
1841524899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 68-021189
- Practice address
- 501 Fifth Avenue
Suite 1709
New York, NY 10017-6129 - Phone
- (516) 661-4603
- Fax
- (914) 423-9434
- NPI assigned
- Sep 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 68-021189 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychologist | 103T00000X | 68-021189 | NY | Primary |
Addresses
Primary practice location
501 Fifth Avenue
Suite 1709
New York, NY 10017-6129
Mailing address
501 Fifth Avenue
Suite 1709
New York, NY 10017-6129
Phone (516) 661-4603
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 |
|---|---|---|---|
| 68-021189 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1841524899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 FIFTH AVENUE",
"address_2": "SUITE 1709",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176129",
"telephone_number": "516-661-4603",
"fax_number": "914-423-9434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 FIFTH AVENUE",
"address_2": "SUITE 1709",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176129",
"telephone_number": "516-661-4603",
"fax_number": "914-423-9434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTY",
"first_name": "JESSICA",
"middle_name": "KATHERINE",
"name_prefix": "Ms.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "68-021189",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "68-021189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.