Mosaic Psychiatric Care, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MOSAIC PSYCHIATRIC CARE, LLC

Practice address

460 Hillside Ave Ste C
Needham, MA 02494-1279

Phone

(781) 531-8188

Fax

(409) 213-3005

NPI assigned

Apr 20, 2020

Organization subpart

No

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

Authorized official

Name

Michael Bezreh, PMHNP-BCNPI 1457704157

Title

Owner

Phone

(781) 531-8188

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

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

• Michael Bezreh, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Needham, MA
  • NPI 1457704157
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1427678465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 4TH ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624828",
            "telephone_number": "781-531-8188",
            "fax_number": "409-213-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 HILLSIDE AVE STE C",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941279",
            "telephone_number": "781-531-8188",
            "fax_number": "409-213-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC PSYCHIATRIC CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "BEZREH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-531-8188",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Monius, BA
• Erin Patricia Moore, BCBA
• Gerald Moran
• Charles L. Morrison
• Steven Morse
• Jessica Moss, LICSW
• Kerri Sullivan Mulka, NP
• Samantha King Mullin
• Mulready & Waize, PLLC
• Carol Jeanne Murphy, ANP RNMSCS

• Psychiatric/Mental Health Nurse Practitioner in Needham, MA
• Providers in Needham, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.