Individual provider Active NPI

Jonathan Carl Mossey, PSY.D.

  • Clinical Psychologist
  • Tampa, FL
National Provider Identifier
1497855472
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7087 Issued in FL
Practice address
13809 Cherry Creek Dr
Tampa, FL 33618-2121
Phone
(727) 501-3666
Fax
(727) 787-8170
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY7087 FL Primary

Addresses

Primary practice location

13809 Cherry Creek Dr
Tampa, FL 33618-2121

Mailing address

36181 E Lake Rd
Suite 264
Palm Harbor, FL 34685-3142
Phone (727) 501-3666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050808000938 FL Practitioner - Clinical Psychologist 2567491731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY7087FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mossey Psychological Services PA Clinical CurrentSince Oct 28, 2010 Accepting new patients
Family Psychological Services of Palm Harbor Inc Clinical PastSince Jan 28, 2024 Accepting new patients

Locations

36181 E Lake Rd
Palm Harbor, FL 34685
Phone (727) 488-2463

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1497855472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36181 E LAKE RD",
            "address_2": "SUITE 264",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346853142",
            "telephone_number": "727-501-3666",
            "fax_number": "727-787-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13809 CHERRY CREEK DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182121",
            "telephone_number": "727-501-3666",
            "fax_number": "727-787-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSEY",
        "first_name": "JONATHAN",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.