Lisa M. Petrica-Moser, PH.D. Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

PY5976 Issued in FL

Legal business name

LISA M. PETRICA-MOSER, PH.D. INC.

Practice address

2727 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6383

Phone

(727) 244-5975

NPI assigned

Jan 17, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Mari Moser, PSY.D.NPI 1700368123

Title

Licensed Psychologist

Phone

(727) 244-5975

Specialties & licenses 1

Addresses

Practitioners 1

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

• Lisa Mari Moser, PSY.D.

  • Psychologist
  • Tampa, FL
  • NPI 1700368123
  NPD (past) Authorized official

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1104362979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 CAPTIVA DR",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346775220",
            "telephone_number": "727-244-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076383",
            "telephone_number": "727-244-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA M. PETRICA-MOSER, PH.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARI",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "727-244-5975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "PY5976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylwia Liro
• Erin Lis
• Lisa a Scudder DO PA
• Lisa Bentivenga LCSW P LLC
• Lisa Indelicato SLP-Pros, Inc
• Lisset Maria Suarez MD PA
• Lissmart Medical Supplies Inc
• Lissmart Medical Supplies Inc
• Lissmart Medical Supply, Inc
• Lissmart Rehabilitation of Tampa,Inc

• Adult Mental Health Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.