Joanne G. Moussette, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

2921 Greenbriar Dr
Suite B-1
Springfield, IL 62704-6425

Phone

(217) 546-3118

Fax

(217) 546-3184

NPI assigned

May 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Psychological Services of Central Illinois, P.C.

  • Clinical Psychologist
  • Springfield, IL
  • NPI 1245281583
  Medicare reassignment NPD

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750332037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 GREENBRIAR DR",
            "address_2": "SUITE B-1",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046425",
            "telephone_number": "217-546-3118",
            "fax_number": "217-546-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 GREENBRIAR DR",
            "address_2": "SUITE B-1",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046425",
            "telephone_number": "217-546-3118",
            "fax_number": "217-546-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSSETTE",
        "first_name": "JOANNE",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "L82921",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH LINK",
            "identifier": "265199",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5932532",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "064592",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "159421 (MHS)",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lyndsie Patricia Most-Gephart, COTA
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• Hannah Motley
• Isabella Mott, RBT
• Gaylan Wayne Moushon, O.D.
• Lindsay Ryanna Mowen, M.S., CCC-SLP/L
• Shae M Mowry
• Lacey Dively Moy, MD
• MPM Physical Therapy PLLC (Restore Core Therapy and Pelvic Health)
• Sajjad Mueed, M.D.

• Clinical Psychologist in Springfield, IL
• Providers in Springfield, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.