Dynamics Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS016152 Issued in PA

Legal business name

DYNAMICS PSYCHOLOGICAL SERVICES, LLC

Practice address

1496 Cedar Top Rd
Shillington, PA 19607-9324

Phone

(610) 413-6889

Fax

(610) 372-8548

NPI assigned

May 19, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Michael Thomas Mosko, PSY.D, ABPPNPI 1942316393

Title

Owner

Phone

(610) 413-6889

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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

• Michael Thomas Mosko, PSY.D.

  • Clinical Psychologist
  • Wyomissing, PA
  • NPI 1942316393
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1124475116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LOVE RD",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196079698",
            "telephone_number": "610-413-6889",
            "fax_number": "610-372-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1496 CEDAR TOP RD",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196079324",
            "telephone_number": "610-413-6889",
            "fax_number": "610-372-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMICS PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "MOSKO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-413-6889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D, ABPP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therese M Diflorio Brennan, DMD, MD
• Christine Diprinzio Guerrero, M.A. LPC, CAADC
• Samantha Dotterer
• Dr. Katja M Spradlin-McHugh, LLC
• Brittany Morgan Dunlap, PSY.D
• Melissa Jane Eicher, DDS
• Joshua Evans
• Donna Fanelli
• Paul R Farrell, DMD
• April Louise Faust, LCSW

• Clinical Psychologist in Shillington, PA
• Providers in Shillington, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.