Individual provider Active NPI

Mitchell Moisio, PH.D.

  • School Psychologist
  • Cleveland, OH
National Provider Identifier
1609296284
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
20515086 Issued in OH
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

Updated by the provider on Apr 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
20515086OHMDSchool 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.

Verify at the official NPI Registry.