Active NPI
James K Mosher, PHD
- Clinical Psychologist
- Bloomington, MN
National Provider Identifier
1336217454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP6039
- Practice address
- 900 American Blvd E Ste 212
Bloomington, MN 55420-1393 - Phone
- (612) 357-7723
- Fax
- (612) 677-3099
- NPI assigned
- Nov 30, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 019156 | NY | |
| Clinical Psychologist | 103TC0700X | 6301019263 | MI | |
| Clinical Psychologist | 103TC0700X | LP6039 | MN | Primary |
Addresses
Primary practice location
900 American Blvd E Ste 212
Bloomington, MN 55420-1393
Mailing address
900 American Blvd E Ste 212
Bloomington, MN 55420-1393
Phone (612) 238-8988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 10, 2025 through Jul 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301019263 | MI | MD | Clinical Psychologist |
| LP6039 | MN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosher Psychological Services, PLLC | Clinical | Current | Accepting new patients |
Locations
812 E 48th St
Ste 6
Minneapolis, MN 55417
Phone (518) 720-5006
900 American Blvd E
Ste 212
Minneapolis, MN 55420
Phone (612) 238-8988
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Minneapolis, MN
- NPI 1154855831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1336217454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 AMERICAN BLVD E STE 212",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554201393",
"telephone_number": "612-238-8988",
"fax_number": "612-677-3099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 AMERICAN BLVD E STE 212",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554201393",
"telephone_number": "612-357-7723",
"fax_number": "612-677-3099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSHER",
"first_name": "JAMES",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "019156",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301019263",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP6039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.