Active NPI
Constanza Del Pilar Mossad, PSY.D.
- Clinical Psychologist
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 19362
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 19362 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Community Services LLC | Current | Accepting new patients | |
| Pathways Community Services LLC | Current | Accepting new patients | |
| Pathways Community Services LLC | Current | Accepting new patients | |
| Pathways Community Services LLC | Past | 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.
-
- Community/Behavioral Health Agency
- Fullerton, CA
- NPI 1881729911
-
- Community/Behavioral Health Agency
- Anaheim, CA
- NPI 1306980974
-
- Community/Behavioral Health Agency
- Tustin, CA
- NPI 1396436077
-
- Community/Behavioral Health Agency
- Pico Rivera, CA
- NPI 1639364862
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
- 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.