Active NPI
Mosaic Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MOSAIC BEHAVIORAL HEALTH
- Practice address
- 2017 Federal St
Philadelphia, PA 19146-2829 - Phone
- (215) 873-9968
- Fax
- (215) 525-0272
- NPI assigned
- Jul 5, 2023
- Last updated
- Jan 23, 2024
- 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
- Heather Cash
- Title
- Licensed Clinical Social Worker
- Phone
- (703) 402-6198
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
2017 Federal St
Philadelphia, PA 19146-2829
Mailing address
5510 Cherokee Ave Ste 300
Alexandria, VA 22312-2320
Other practice location 1
867 Boylston St Fl 5
Boston, MA 02116-2774
Phone (215) 873-9968
Other practice location 2
5510 Cherokee Ave Ste 300
Alexandria, VA 22312-2320
Phone (703) 402-6198
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
93 Concord Ave
Ste 1
Belmont, MA 02478
Phone (617) 518-5973
192 S Broad St
Ste 2
Trenton, NJ 08608
Phone (215) 873-9968
525 S 4th St
Ste 243
Philadelphia, PA 19147
Phone (215) 873-9968
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705968000000",
"number": "1437836061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5510 CHEROKEE AVE STE 300",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223122320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2017 FEDERAL ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191462829",
"telephone_number": "215-873-9968",
"fax_number": "215-525-0272"
}
],
"practiceLocations": [
{
"address_1": "867 Boylston St Fl 5",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021162774",
"country_code": "US",
"telephone_number": "215-873-9968",
"fax_number": "215-525-0272",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5510 Cherokee Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223122320",
"country_code": "US",
"telephone_number": "703-402-6198",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MOSAIC BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-05",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A",
"authorized_official_last_name": "CASH",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "703-402-6198"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.