Mosaic Minds LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

MOSAIC MINDS LLC

Practice address

12410 Milestone Center Drive
Suite 600
Germantown, MD 20876-7102

Phone

(240) 500-5841

NPI assigned

Jun 28, 2024

Organization subpart

No

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

Authorized official

Name

Samaaneh Moezzi, PA-CNPI 1093328387

Title

Physician Assistant

Phone

(301) 500-5841

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

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

• Samaaneh Moezzi

  • Physician Assistant
  • Germantown, MD
  • NPI 1093328387

  DC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1477398543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12410 MILESTONE CENTER DRIVE",
            "address_2": "SUITE 600",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208767102",
            "telephone_number": "240-500-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12410 MILESTONE CENTER DRIVE",
            "address_2": "SUITE 600",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208767102",
            "telephone_number": "240-500-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "MOEZZI",
        "authorized_official_first_name": "SAMAANEH",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "301-500-5841",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sazia Akhter Moriom
• Andrea Lynn Morley, PSYD
• Lindsay Rebecca Morris, DMD
• Michelle Morris
• Latashia Morton-Warren
• Jennifer Moses, LPN
• Takyia Jonette Mosley
• Mother Baby Lactation Care, LLC
• Mount Clare Healthchoices, LLC
• Fariborz Mousavi, DDS

• Physician Assistant in Germantown, MD
• Providers in Germantown, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.