Organization Active NPI

Kathleen D. Mosby, PH.D.LLC

  • Clinical Psychologist
  • Springfield, VA
National Provider Identifier
1356670079
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
935 Issued in VA
Legal business name
KATHLEEN D. MOSBY, PH.D.LLC
Practice address
6919 Vancouver Road
Springfield, VA 22152
Phone
(703) 569-6212
Fax
(703) 913-7456
NPI assigned
Dec 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Authorized official

Name
Dr. Kathleen D. Mosby, PH.D. LLC
Title
Owner7035696212
Phone
(703) 569-6212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 935 VA Primary

Addresses

Primary practice location

6919 Vancouver Road
Springfield, VA 22152

Mailing address

6919 Vancouver Road
Springfield, VA 22152
Phone (703) 569-6212

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1356670079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6919 VANCOUVER ROAD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "22152",
            "telephone_number": "703-569-6212",
            "fax_number": "703-913-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6919 VANCOUVER ROAD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "22152",
            "telephone_number": "703-569-6212",
            "fax_number": "703-913-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN D. MOSBY, PH.D.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "MOSBY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER7035696212",
        "authorized_official_telephone_number": "703-569-6212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D. LLC"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.