Andrea Mosqueda, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.010614 Issued in IL

Practice address

4217 W 59TH St
Chicago, IL 60629

Phone

(773) 340-1321

NPI assigned

Jul 23, 2018

Last updated

Sep 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1194202085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 W 59TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294944",
            "telephone_number": "773-340-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 W 59TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60629",
            "telephone_number": "773-340-1321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4217 W 59th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60629",
            "country_code": "US",
            "telephone_number": "773-572-4935",
            "fax_number": "773-284-9205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSQUEDA",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janiyah Mosley
• Katrina Mosley, D.D.S
• Lauren Mosley, LCSW
• Michelle Mosley, RN
• Giselle Mosnaim, M.D.
• Sandra Mosqueda, LCSW
• Juanita Melenne Mosquera, LCSW
• Brittany Louise Moss, LCSW
• Deborah S. Moss, L.C.P.C.
• Donnell Rashied Akiel Moss, PT, DPT

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.