Active NPI
Mosaic
- Mental Illness Community Based Residential Treatment Facility
- Newark, DE
National Provider Identifier
1689742439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- MOSAIC
- Practice address
- 261 Chapman Rd Ste 201
Newark, DE 19702-5428 - Phone
- (302) 456-5995
- Fax
- (302) 456-5998
- NPI assigned
- Dec 1, 2006
- Last updated
- Sep 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Scott O Hoffman
- Title
- SVP of Finance
- Phone
- (402) 896-3884
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | NU | Primary | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | NU | ||
| Rehabilitation Psychologist | 103TR0400X | NU |
Addresses
Primary practice location
261 Chapman Rd Ste 201
Newark, DE 19702-5428
Mailing address
4980 S 118TH St
Omaha, NE 68137-2200
Phone (402) 896-3884
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200003867 | Medicaid | DE | |
| 1000036571 | Other | DE | DE ELECTRONIC BILLING # |
National Provider Directory
National Provider Directory- Tax ID family
- Mosaic
Locations
261 Chapman Rd
Ste 201
Newark, DE 19702
Phone (302) 456-5995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726617600000",
"number": "1689742439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4980 S 118TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681372200",
"telephone_number": "402-896-3884",
"fax_number": "402-896-1511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 CHAPMAN RD STE 201",
"city": "NEWARK",
"state": "DE",
"postal_code": "197025428",
"telephone_number": "302-456-5995",
"fax_number": "302-456-5998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSAIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A",
"authorized_official_last_name": "HOFFMAN",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "SVP OF FINANCE",
"authorized_official_telephone_number": "402-896-3884",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200003867",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DE ELECTRONIC BILLING #",
"identifier": "1000036571",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.