Organization Active NPI

Mosaic Psychotherapy, PC

  • Counseling Psychologist
  • Millbrae, CA
National Provider Identifier
1366245813
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
MOSAIC PSYCHOTHERAPY, PC
Practice address
660 El Camino Real # 220
Millbrae, CA 94030-2059
Phone
(415) 212-8790
NPI assigned
Mar 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Dr. Ian Mosier, PHDNPI 1356045181
Title
Owner/President
Phone
(415) 212-8790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

660 El Camino Real # 220
Millbrae, CA 94030-2059

Mailing address

660 El Camino Real # 220
Millbrae, CA 94030-2059
Phone (415) 212-8790

National Provider Directory

National Provider Directory

Locations

660 El Camino Real
#220
Millbrae, CA 94030
Phone (415) 212-8790

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1366245813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 EL CAMINO REAL # 220",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940302059",
            "telephone_number": "415-212-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 EL CAMINO REAL # 220",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940302059",
            "telephone_number": "415-212-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC PSYCHOTHERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-30",
        "status": "A",
        "authorized_official_last_name": "MOSIER",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "415-212-8790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millbrae, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.