Jeanne P Mosca, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1180 Issued in KS

Practice address

4500 College Blvd
Suite 304
Overland Park, KS 66211-1799

Phone

(913) 323-6560

Fax

(913) 338-0428

NPI assigned

Jul 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 Mar 1, 2016 through Mar 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Kansas City Psychiatric Group

  • Psychiatry Physician
  • Overland Park, KS
  • NPI 1023044641
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881625713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 COLLEGE BLVD",
            "address_2": "SUITE 304",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111799",
            "telephone_number": "913-323-6560",
            "fax_number": "913-338-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 COLLEGE BLVD",
            "address_2": "SUITE 304",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111799",
            "telephone_number": "913-323-6560",
            "fax_number": "913-338-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCA",
        "first_name": "JEANNE",
        "middle_name": "P",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "1180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC&BS OF KANSAS CITY",
            "identifier": "32278014",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Morse, ND
• Bryce Allen Morton, PHARM D.
• Ellis Lee Morton, DPT
• Mark A Morton, D.D.S.
• Mosaic Diagnostics, LLC
• Cathy Jean Moseley, SLP
• Todd Moseley, BOC
• Gailla Moser, LMSW
• Kelly A Mosher, MD
• Jack Moss

• All providers in Overland Park, KS
• Clinical Psychologist in Kansas

• 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.