Individual provider Active NPI

Rico Mosby, PHD

  • Psychologist
  • Pflugerville, TX
National Provider Identifier
1467730473
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
34808 Issued in TX
Practice address
103 12TH St Ste 201
Pflugerville, TX 78660-3814
Phone
(806) 441-9022
NPI assigned
Jul 25, 2011
Last updated
Jul 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 34808 TX Primary

Addresses

Primary practice location

103 12TH St Ste 201
Pflugerville, TX 78660-3814

Mailing address

PO Box 685042
Austin, TX 78768-5042
Phone (806) 441-9022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130530000590 TX Practitioner - Clinical Psychologist 6305084443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
34808TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Victorious Mind PLLC CurrentSince Mar 5, 2013 Accepting new patients

Locations

103 12th St
Ste 201
Pflugerville, TX 78660
Phone (512) 704-8349

305 N Heatherwilde Blvd
Pflugerville, TX 78660
Phone (512) 222-9022

305 N Heatherwilde Blvd
Ste 330
Pflugerville, TX 78660
Phone (210) 348-4040

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1467730473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 685042",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787685042",
            "telephone_number": "806-441-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 12TH ST STE 201",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603814",
            "telephone_number": "806-441-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSBY",
        "first_name": "RICO",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "34808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

Verify at the official NPI Registry.