Active NPI
Jaime Mash, M.D.
- Psychiatry Physician
- Folsom, CA
National Provider Identifier
1902269160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A173258
- Practice address
- 1687 Bowen Dr
Folsom, CA 95630-7346 - Phone
- (916) 712-2294
- NPI assigned
- Apr 4, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 303039 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | A173258 | CA | Primary |
Addresses
Primary practice location
1687 Bowen Dr
Folsom, CA 95630-7346
Mailing address
1687 Bowen Dr
Folsom, CA 95630-7346
Other practice location 1
462 Grider St
Ecmc #1184-a
Buffalo, NY 14215-3021
Phone (716) 898-4221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190128001060 | NY | Order and Referring Only - Psychiatry | 5496092546 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303039 | NY | MD | Licensed Practical Nurse |
| A173258 | CA | MD | Psychiatry Physician |
Interoperability endpoints
- jaime.mash.1@24284.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1902269160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1687 BOWEN DR",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956307346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1687 BOWEN DR",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956307346",
"telephone_number": "916-712-2294"
}
],
"practiceLocations": [
{
"address_1": "462 Grider St",
"address_2": "ECMC #1184-A",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142153021",
"country_code": "US",
"telephone_number": "716-898-4221",
"fax_number": "716-898-4538",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASH",
"first_name": "JAIME",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-04",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "303039",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A173258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.