Active NPI
Mary Jean Rascoe, M.S.
- Clinical Psychologist
- Murray, KY
National Provider Identifier
1902036593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0073
- Practice address
- 503 Poplar St
Murray, KY 42071-2541 - Phone
- (270) 753-2757
- Fax
- (270) 753-2757
- NPI assigned
- Jul 17, 2009
- Last updated
- Jan 18, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0073 | KY | Primary |
Addresses
Primary practice location
503 Poplar St
Murray, KY 42071-2541
Mailing address
503 Poplar St
Murray, KY 42071-2541
Phone (270) 753-2757
Other names 1
- Mrs. Mary Rascoe Nelson
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)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263772800000",
"number": "1902036593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 POPLAR ST",
"city": "MURRAY",
"state": "KY",
"postal_code": "420712541",
"telephone_number": "270-753-2757",
"fax_number": "270-753-2757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 POPLAR ST",
"city": "MURRAY",
"state": "KY",
"postal_code": "420712541",
"telephone_number": "270-753-2757",
"fax_number": "270-753-2757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASCOE",
"first_name": "MARY",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-17",
"last_updated": "2010-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "0073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "NELSON",
"middle_name": "RASCOE",
"prefix": "MRS.",
"credential": "M.S.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Murray, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.