Active NPI
Mitchell Moisio, PH.D.
- School Psychologist
- Cleveland, OH
National Provider Identifier
1609296284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 20515086
- Practice address
- 800 Linn Dr.
FDR, Cleveland Municipal School District
Cleveland, OH 44108 - Phone
- (216) 523-8498
- NPI assigned
- Apr 22, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 20515086 | OH | Primary |
Addresses
Primary practice location
800 Linn Dr.
FDR, Cleveland Municipal School District
Cleveland, OH 44108
Mailing address
800 Linn Dr.
FDR, Cleveland Municipal School District
Cleveland, OH 44108
Phone (216) 523-8498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20515086 | OH | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398124800000",
"number": "1609296284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 LINN DR.",
"address_2": "FDR, CLEVELAND MUNICIPAL SCHOOL DISTRICT",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44108",
"telephone_number": "216-523-8498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 LINN DR.",
"address_2": "FDR, CLEVELAND MUNICIPAL SCHOOL DISTRICT",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44108",
"telephone_number": "216-523-8498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOISIO",
"first_name": "MITCHELL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-22",
"last_updated": "2014-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "20515086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.