Active NPI
Joseph R. Mosley, PH.D.
- Clinical Psychologist
- Ventnor, NJ
National Provider Identifier
1104952944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- SI 02498
- Practice address
- 5215 Wellington Avenue Suite 800
Ventnor, NJ 08406 - Phone
- (609) 926-4644
- Fax
- (609) 823-6433
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | SI 02498 | NJ | Primary |
Addresses
Primary practice location
5215 Wellington Avenue Suite 800
Ventnor, NJ 08406
Mailing address
199 New Road
Central Square, Unit 65
Linwood, NJ 08221
Phone (609) 926-4644
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: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2017 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI 02498 | NJ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1104952944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 NEW ROAD",
"address_2": "CENTRAL SQUARE, UNIT 65",
"city": "LINWOOD",
"state": "NJ",
"postal_code": "08221",
"telephone_number": "609-926-4644",
"fax_number": "609-926-6855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5215 WELLINGTON AVENUE SUITE 800",
"city": "VENTNOR",
"state": "NJ",
"postal_code": "08406",
"telephone_number": "609-926-4644",
"fax_number": "609-823-6433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSLEY",
"first_name": "JOSEPH",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "SI 02498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ventnor, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.