Active NPI
Kathleen D. Mosby, PH.D.LLC
- Clinical Psychologist
- Springfield, VA
National Provider Identifier
1356670079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 935
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryNPI 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.