Mosaic Therapeutic Services

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-15638 Issued in CA

Legal business name

MOSAIC THERAPEUTIC SERVICES

Practice address

4163 Rainbow Ter
Fremont, CA 94555-3240

Phone

(650) 455-0839

NPI assigned

Aug 25, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nejat Romodan

Title

Owner/Behavior Technician

Phone

(408) 821-5634

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cassandra Kurmis

  • Behavior Analyst
  • Berkeley, CA
  • NPI 1093125429
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535155200000",
    "number": "1063993269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4163 RAINBOW TER",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945553240",
            "telephone_number": "650-455-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4163 RAINBOW TER",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945553240",
            "telephone_number": "650-455-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-25",
        "last_updated": "2018-08-25",
        "status": "A",
        "authorized_official_last_name": "ROMODAN",
        "authorized_official_first_name": "NEJAT",
        "authorized_official_title_or_position": "OWNER/BEHAVIOR TECHNICIAN",
        "authorized_official_telephone_number": "408-821-5634"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-14-15638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June Leilokelani Morrison
• Mary Morrison
• Suzan Beth Morrison, DACM
• Kevin J Morrissey, MD
• Christopher Morrow, DC
• Max Moses, MD
• Alina D Moskovenko
• Myjana Mosley
• Maria Montserrat Mosqueda, LMFT
• Larson Moss

• Behavior Analyst in Fremont, CA
• Providers in Fremont, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.