Active NPI
Christine Masuda
- Psychiatry Physician
- Austin, TX
National Provider Identifier
1942620422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- R0614
- Practice address
- 1101 W 34TH St # 556
Austin, TX 78705 - Phone
- (513) 239-7587
- NPI assigned
- Apr 23, 2014
- Last updated
- Sep 27, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10050017 | TX | |
| Psychiatry Physician | 2084P0800X | R0614 | TX | Primary |
Addresses
Primary practice location
1101 W 34TH St # 556
Austin, TX 78705
Mailing address
1101 W 34TH St # 556
Austin, TX 78705-1907
Phone (513) 239-7587
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 31, 2024 through May 31, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1942620422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 W 34TH ST # 556",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051907",
"telephone_number": "513-239-7587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 W 34TH ST # 556",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78705",
"telephone_number": "513-239-7587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASUDA",
"first_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-23",
"last_updated": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10050017",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "R0614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.