Individual provider Active NPI

Constanza Del Pilar Mossad, PSY.D.

  • Clinical Psychologist
  • Santa Ana, CA
National Provider Identifier
1750396131
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 19362 Issued in CA
Practice address
1633 E 4TH St
Santa Ana, CA 92701-5163
Phone
(714) 565-2830
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 19362 CA Primary

Addresses

Primary practice location

1633 E 4TH St
Santa Ana, CA 92701-5163

Mailing address

1939 Whittier Ave
Costa Mesa, CA 92627-4159
Phone (949) 645-7669

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20110909002821 CA Practitioner - Clinical Psychologist 3476723065 Reassigns benefits to 1 organization
Practice locations: Santa Ana, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

250 N Golden Cir Dr
Santa Ana, CA 92705-4023
Phone (949) 698-3865

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY 19362CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Community Services LLC Current Accepting new patients
Pathways Community Services LLC CurrentSince Jan 10, 2017 Accepting new patients
Pathways Community Services LLC CurrentSince Jan 10, 2017 Accepting new patients
Pathways Community Services LLC PastSince Aug 15, 2021 Accepting new patients

Locations

8337 Telegraph Rd
Ste 123
Pico Rivera, CA 90660
Phone (562) 207-4272

8337 Telegraph Rd
Ste 300
Pico Rivera, CA 90660
Phone (562) 207-4272

3870 Murphy Canyon Rd
Ste 320325
San Diego, CA 92123
Phone (858) 262-8504

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750396131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 WHITTIER AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274159",
            "telephone_number": "949-645-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 E 4TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015163",
            "telephone_number": "714-565-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSAD",
        "first_name": "CONSTANZA",
        "middle_name": "DEL PILAR",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 19362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.