Individual provider Active NPI

Erika Celia Mozer, PSYD

  • Clinical Psychologist
  • Menlo Park, CA
National Provider Identifier
1851689566
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY24289 Issued in CA
Practice address
640 Menlo Ave Ste 9
Menlo Park, CA 94025-4712
Phone
(650) 704-5376
NPI assigned
Jul 14, 2011
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 24289 CA
Clinical Psychologist 103TC0700X PSY24289 CA Primary

Addresses

Primary practice location

640 Menlo Ave Ste 9
Menlo Park, CA 94025-4712

Mailing address

640 Menlo Ave Ste 9
Menlo Park, CA 94025-4712
Phone (650) 704-5376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2015 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24289CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Past Accepting new patients
Affiliated Psychologists & Counselors, Inc. PastSince May 1, 2016 Accepting new patients
County of Santa Clara Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1851689566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 MENLO AVE STE 9",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254712",
            "telephone_number": "650-704-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 MENLO AVE STE 9",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254712",
            "telephone_number": "650-704-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZER",
        "first_name": "ERIKA",
        "middle_name": "CELIA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "24289",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.