Active NPI
June Andrea Mossop, M.D.
- Child & Adolescent Psychiatry Physician
- Hawthorne, NY
National Provider Identifier
1669673836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD468978
- Practice address
- 228 Linda Ave
Hawthorne, NY 10532-2050 - Phone
- (914) 773-7449
- Fax
- (914) 747-5647
- NPI assigned
- May 29, 2007
- Last updated
- Sep 29, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 202302 | NY | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD468978 | PA | Primary |
Addresses
Primary practice location
228 Linda Ave
Hawthorne, NY 10532-2050
Mailing address
500 University Dr
MC Ca410
Hershey, PA 17033-2360
Phone (800) 243-1455
Other practice location 1
500 University Dr
Hershey, PA 17033-2360
Phone (717) 531-8338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202302 | Other | NY | LICENSE # |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202302 | NY | MD | Child & Adolescent Psychiatry Physician |
| MD468978 | PA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Board of Family and Children Services | Past | Accepting new patients | |
| Kent D Shinbach MD PC | Past | Accepting new patients |
Interoperability endpoints
- jmossop189882@direct-guthrie.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- NPI 1326312950
-
- Legal Medicine
- New York, NY
- NPI 1578521456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1669673836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 UNIVERSITY DR",
"address_2": "MC CA410",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332360",
"telephone_number": "800-243-1455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 LINDA AVE",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322050",
"telephone_number": "914-773-7449",
"fax_number": "914-747-5647"
}
],
"practiceLocations": [
{
"address_1": "500 University Dr",
"address_purpose": "LOCATION",
"city": "Hershey",
"state": "PA",
"postal_code": "170332360",
"country_code": "US",
"telephone_number": "717-531-8338",
"fax_number": "717-531-6250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOSSOP",
"first_name": "JUNE",
"middle_name": "ANDREA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "202302",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "MD468978",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "202302",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.