Individual provider Active NPI

Jacklyn High Mason, M.A.

  • Speech-Language Pathologist
  • Amherst, MA
National Provider Identifier
1871827741
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2611 Issued in MA
Practice address
358 N Pleasant St
Amherst, MA 01003-9296
Phone
(413) 545-2565
Fax
(413) 545-0803
NPI assigned
Sep 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2611 MA Primary

Addresses

Primary practice location

358 N Pleasant St
Amherst, MA 01003-9296

Mailing address

53 Willowbrook Dr
Springfield, MA 01129-2035
Phone (413) 783-4122

Other names 1

  • Jacklyn Joyce High Former name

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
2611MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
University of Massachusetts Speech-Language Pathologist PastSince Apr 2, 2017 Accepting new patients
University of Massachusetts Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253836800000",
    "number": "1871827741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 WILLOWBROOK DR",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011292035",
            "telephone_number": "413-783-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 N PLEASANT ST",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010039296",
            "telephone_number": "413-545-2565",
            "fax_number": "413-545-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "JACKLYN",
        "middle_name": "HIGH",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-25",
        "last_updated": "2009-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "2611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKLYN",
            "last_name": "HIGH",
            "middle_name": "JOYCE",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amherst, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; 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.