Active NPI
John Wesley Mosier III, PSY. D.
- Clinical Psychologist
- Johnson City, TN
National Provider Identifier
1205907847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- APPLIED FOR LICENSE
- Practice address
- Sidney and Lamont Street
Johnson City, TN 37601 - Phone
- (865) 742-5854
- NPI assigned
- Nov 13, 2006
- 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 | APPLIED FOR LICENSE | TN | Primary |
Addresses
Primary practice location
Sidney and Lamont Street
Johnson City, TN 37601
Mailing address
245 Georgia Avenue
Atlanta, GA 30312
Phone (865) 742-5854
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APPLIED FOR LICENSE | TN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205907847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 GEORGIA AVENUE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30312",
"telephone_number": "865-742-5854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SIDNEY AND LAMONT STREET",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37601",
"telephone_number": "865-742-5854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSIER",
"first_name": "JOHN",
"middle_name": "WESLEY",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PSY. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "APPLIED FOR LICENSE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.