Jonathan a. Moselle,PH.D. P.C

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS003458L Issued in PA

Legal business name

JONATHAN A. MOSELLE,PH.D. P.C

Practice address

1244 Ft Wshngtn Ave
Suite K
Ft Washington, PA 19034-1743

Phone

(215) 643-2999

Fax

(215) 643-4599

NPI assigned

Apr 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan A. Moselle, PH.D.NPI 1841350683

Title

President

Phone

(215) 643-2999

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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

• Jonathan A. Moselle, PH.D.

  • Clinical Psychologist
  • Ft Washington, PA
  • NPI 1841350683
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1841556909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 FT WSHNGTN AVE",
            "address_2": "SUITE K",
            "city": "FT WASHINGTON",
            "state": "PA",
            "postal_code": "190341743",
            "telephone_number": "215-643-2999",
            "fax_number": "215-643-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 FT WSHNGTN AVE",
            "address_2": "SUITE K",
            "city": "FT WASHINGTON",
            "state": "PA",
            "postal_code": "190341743",
            "telephone_number": "215-643-2999",
            "fax_number": "215-643-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN A. MOSELLE,PH.D. P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "MOSELLE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-643-2999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS003458L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "189672",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Preya John, ATR
• Richa John, MD
• April M Johnson
• Iesha Johnson
• Richard P Johnson, PHD
• Donna Marie Jones, PT
• Jamal Jones
• Kane Family Chiropractic PC
• Robert Kane, D.C.
• Mara Kaplan-Kaliner, PH.D.

• Clinical Psychologist in Ft Washington, PA
• Providers in Ft Washington, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.