Aisha Mohammed Swan, PHD, PSYD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

509 W 10TH St
Antioch, CA 94509-1653

Phone

(510) 776-6078

NPI assigned

Jul 23, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Serene Health

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1649809526
  NPD (past)

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

{
    "created_epoch": "1658534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658534400000",
    "number": "1295460178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W 10TH ST",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945091653",
            "telephone_number": "510-776-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W 10TH ST",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945091653",
            "telephone_number": "510-776-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMED SWAN",
        "first_name": "AISHA",
        "name_prefix": "Dr.",
        "credential": "PHD, PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-23",
        "last_updated": "2022-07-23",
        "certification_date": "2022-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "509 W 10th St",
            "city": "Antioch",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945091653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anita Mittal, MD
• Ni Mo, D.O.
• Kourosh Moazemi, MD
• Benjamin Ray Mock
• Darcy Modabber, DPT
• Elizabeth T Mok, PHARM. D.
• Adriana Molina
• Claudia Elizabeth Molina
• Cynthia V Molina, PA-C
• Nora J Mollique I

• Student in an Organized Health Care Education/Training Program in Antioch, CA
• Providers in Antioch, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2022; 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.