Healthcare Provider Details

I. General information

NPI: 1780518456
Provider Name (Legal Business Name): AURIELLE MASON PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11145 TAMPA AVE STE 12B
PORTER RANCH CA
91326-2215
US

IV. Provider business mailing address

11145 TAMPA AVE STE 12B
PORTER RANCH CA
91326-2215
US

V. Phone/Fax

Practice location:
  • Phone: 818-337-8059
  • Fax:
Mailing address:
  • Phone: 818-336-1644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY31874
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: