Active NPI
Michael Thomas Mosko, PSY.D.
- Clinical Psychologist
- Wyomissing, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS016152
- Practice address
- 938 Penn Ave
Wyomissing, PA 19610-3017 - Phone
- (610) 372-0466
- NPI assigned
- Aug 21, 2006
- Last updated
- May 20, 2008
- Sex
- Male
- 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 | PS016152 | PA | Primary |
Addresses
Primary practice location
938 Penn Ave
Wyomissing, PA 19610-3017
Mailing address
100 S 7TH Ave
West Reading, PA 19611-1022
Phone (610) 413-6889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
122 W Lancaster Ave
Suite 107
Shillington, PA 19607-1874
Phone (610) 413-6889
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS016152 | PA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamics Psychological Services, LLC | Clinical | Current | Accepting new patients |
| Peter H. Thomasph.D. and Associates | Clinical | Past | Accepting new patients |
Locations
122 W Lancaster Ave
Ste 107
Shillington, PA 19607
Phone (610) 413-6889
122 W Lancaster Ave
Ste 202
Shillington, PA 19607
Phone (610) 413-6889
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Shillington, PA
- NPI 1124475116
-
- Clinical Psychologist
- Wyomissing, PA
- NPI 1073631248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1942316393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S 7TH AVE",
"city": "WEST READING",
"state": "PA",
"postal_code": "196111022",
"telephone_number": "610-413-6889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "938 PENN AVE",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196103017",
"telephone_number": "610-372-0466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSKO",
"first_name": "MICHAEL",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS016152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.