Mosaic

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MOSAIC

Practice address

100 Sebethe Dr Ste A2
Cromwell, CT 06416-1037

Phone

(402) 896-5827

Fax

(402) 894-4780

NPI assigned

Feb 20, 2021

Organization subpart

No

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

Authorized official

Name

Jeri Sole

Title

Director of Billing

Phone

(402) 896-5827

Specialties & licenses 2

Addresses

Other names 1

• Mosaic Doing business as

Electronic endpoints 1

Tax ID family

Mosaic99 organizations share this tax ID, including this one

Locations

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

{
    "created_epoch": "1613779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1740874775",
    "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": "402-896-5827",
            "fax_number": "402-594-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SEBETHE DR STE A2",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064161037",
            "telephone_number": "402-896-5827",
            "fax_number": "402-894-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-20",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "SOLE",
        "authorized_official_first_name": "JERI",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "402-896-5827"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "endpointDescription": "Other",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "100 Sebethe Dr Ste A2",
            "city": "Cromwell",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064161037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mosaic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mosaic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lizahya Rose Morgan
• Marie Morgan, OTR/L
• Teresa Morganti, SLP
• Shannon Clare Morrill, PA-C
• Katelyn Morrissette
• Aubrey Moser
• Gillian Marie Moskwa
• Hannah Grace Mott
• Andrew Moyer
• Matthew Moyer, APRN

• Community/Behavioral Health Agency in Cromwell, CT
• Providers in Cromwell, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.