Mosaic Therapy

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

955674 Issued in IL

Legal business name

MOSAIC THERAPY

Practice address

801 Skokie Blvd Ste 106
Northbrook, IL 60062-4026

Phone

(734) 660-6338

NPI assigned

Jun 24, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Kendra Bostick, LCSWNPI 1992250708

Title

Mental Health Counselor

Phone

(734) 660-6338

Specialties & licenses 1

Addresses

Tax ID family

CCSD 152 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Comm Cons School District No 15

  • Student Health Clinic/Center
  • Palatine, IL
  • NPI 1952435802
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kendra Bostick

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1992250708
  NPD (past) Authorized official

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1831540400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228810",
            "telephone_number": "734-660-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SKOKIE BLVD STE 106",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624026",
            "telephone_number": "734-660-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "BOSTICK",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "734-660-6338",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "955674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene P Morgan, LCPC
• James Edward Morgan Jr.
• Helana Morkos
• John-Tyler Morris, RBT-19-83134
• James Morrison
• Savannah Mosel
• Meghan R Moser, SLP
• Lana Moshkovich, L.AC
• Anne Bukrey Moyer, LPC
• Vanessa Mrock, MSW, LSW

• Community/Behavioral Health Agency in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.