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Jerome Massenburg, M.D.
NPI 1811900277 · Psychiatry Physician · Fort Wayne, IN
Jerome Massenburg, M.D. is a Psychiatry Physician provider in Fort Wayne, IN (NPI 1811900277).
Provider details
- NPI number
- 1811900277
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 14621 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2121 Lake Ave
Fort Wayne, IN 46805-5100
Phone: (260) 426-5431
Fax: (260) 460-1481
Street-level locationGet directions
Mailing address
1215 Quarrier St
Charleston, WV 25301-0006
Registry dates
- Enumerated
- 2006-08-15
- Last updated
- 2016-06-20
Frequently asked questions
- What is Jerome Massenburg's NPI number?
- Jerome Massenburg's National Provider Identifier (NPI) is 1811900277, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerome Massenburg's specialty?
- Jerome Massenburg is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Jerome Massenburg located?
- Jerome Massenburg's practice location on file with NPPES is 2121 Lake Ave, Fort Wayne, IN 46805-5100.
- What is Jerome Massenburg's phone number?
- The practice phone number listed in the NPPES registry for Jerome Massenburg is (260) 426-5431.
- Is Jerome Massenburg's NPI active?
- Yes — Jerome Massenburg's NPI (1811900277) is active in the NPPES registry as of the last update on 2016-06-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.