Organization Active NPI

Mosley Advanced Psychiatry, LLC

  • Psychiatry Physician
  • Exton, PA
National Provider Identifier
1619353448
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS013917 Issued in PA
Legal business name
MOSLEY ADVANCED PSYCHIATRY, LLC
Practice address
103 John Robert Thomas Dr
Exton, PA 19341-2652
Phone
(484) 202-8399
Fax
(610) 466-4568
NPI assigned
Aug 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Authorized official

Name
Dr. Habibah Mosley, D.O.
Title
President
Phone
(484) 202-8399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X OS013917 PA Primary

Addresses

Primary practice location

103 John Robert Thomas Dr
Exton, PA 19341-2652

Mailing address

430 Exton Square Pkwy Unit 742
Exton, PA 19341-5023
Phone (484) 202-8399

Other practice location 1

430 Exton Square Pkwy Unit 742
Exton, PA 19341-5023
Phone (484) 202-8399

Other practice location 2

236 Brodhead Rd
Bethlehem, PA 18017-8937
Phone (610) 973-0970

National Provider Directory

National Provider Directory

Locations

236 Brodhead Rd
Bethlehem, PA 18017
Phone (610) 437-4134

430 Exton Square Pkwy
Unit 742
Exton, PA 19341
Phone (484) 202-8399

103 John Robert Thomas Dr
Exton, PA 19341
Phone (484) 202-8399

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1619353448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 EXTON SQUARE PKWY UNIT 742",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193415023",
            "telephone_number": "484-202-8399",
            "fax_number": "610-466-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 JOHN ROBERT THOMAS DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412652",
            "telephone_number": "484-202-8399",
            "fax_number": "610-466-4568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 Exton Square Pkwy Unit 742",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193415023",
            "country_code": "US",
            "telephone_number": "484-202-8399",
            "fax_number": "610-466-4568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "236 Brodhead Rd",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180178937",
            "country_code": "US",
            "telephone_number": "610-973-0970",
            "fax_number": "610-391-1735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOSLEY ADVANCED PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "HABIBAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-202-8399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS013917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.