Organization Active NPI

Mossey Psychological Services PA

  • Clinical Psychologist
  • Oldsmar, FL
National Provider Identifier
1679873244
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7087 Issued in FL
Legal business name
MOSSEY PSYCHOLOGICAL SERVICES PA
Practice address
218 Arbor Woods Cir
Oldsmar, FL 34677-4655
Phone
(727) 501-3666
Fax
(813) 855-4029
NPI assigned
Oct 28, 2010
Last updated
Mar 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Dr. Jonathan C Mossey, PSYDNPI 1497855472
Title
Director
Phone
(727) 501-3666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY7087 FL Primary

Addresses

Primary practice location

218 Arbor Woods Cir
Oldsmar, FL 34677-4655

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101122000218 FL Part B Supplier - Clinic/Group Practice 0941496608 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1679873244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36181 E LAKE RD",
            "address_2": "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": "218 ARBOR WOODS CIR",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346774655",
            "telephone_number": "727-501-3666",
            "fax_number": "813-855-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSSEY PSYCHOLOGICAL SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "MOSSEY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "727-501-3666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oldsmar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.