Individual provider Active NPI

James K Mosher, PHD

  • Clinical Psychologist
  • Bloomington, MN
National Provider Identifier
1336217454
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP6039 Issued in MN
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

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
6301019263MIMDClinical Psychologist
LP6039MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mosher Psychological Services, PLLC Clinical CurrentSince Apr 27, 2017 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.

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

Verify at the official NPI Registry.