Organization Active NPI

Mosaic Mind Psychotherapy LCSW PC

  • Clinical Social Worker
  • Bay Shore, NY
National Provider Identifier
1487549010
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MOSAIC MIND PSYCHOTHERAPY LCSW PC
Practice address
21 Maple Ave Ste 106
Bay Shore, NY 11706-8752
Phone
(631) 532-9268
NPI assigned
Jun 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Mrs. Meghan McLeod, LCSWNPI 1942653241
Title
Owner
Phone
(631) 532-9268

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

21 Maple Ave Ste 106
Bay Shore, NY 11706-8752

Mailing address

21 Maple Ave Ste 106
Bay Shore, NY 11706-8752
Phone (631) 532-9268

Other names 1

  • Meghan McLeod LCSW Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250828003073 NY Part B Supplier - Clinic/Group Practice 2860993144 Receives reassigned benefits from 3 practitioners
Practice locations: Bay Shore, NY

National Provider Directory

National Provider Directory

Locations

21 Maple Ave
Unit 3
Bay Shore, NY 11706
Phone (631) 532-9268

21 Maple Ave
Ste 106
Bay Shore, NY 11706
Phone (516) 701-0740

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1487549010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MAPLE AVE STE 106",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068752",
            "telephone_number": "631-532-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MAPLE AVE STE 106",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068752",
            "telephone_number": "631-532-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC MIND PSYCHOTHERAPY LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-532-9268",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meghan McLeod LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.