Organization Active NPI

Mosaic Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
National Provider Identifier
1437836061
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Heather CashNPI 1639896772
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)CodeLicenseStatePrimary
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, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20251215002116 PA Part B Supplier - Clinic/Group Practice 5294229456 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA
O20260311001800 MA Part B Supplier - Clinic/Group Practice 5294229456 Receives reassigned benefits from 1 practitioner
Practice locations: Belmont, MA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.