Organization Active NPI

Mosaic Psychological Services, LLC

  • Community/Behavioral Health Agency
  • Centerville, OH
National Provider Identifier
1952292815
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MOSAIC PSYCHOLOGICAL SERVICES, LLC
Practice address
37 Iron Gate Park Dr
Centerville, OH 45459-4616
Phone
(937) 813-6240
Fax
(937) 619-8202
NPI assigned
Jul 10, 2025
Last updated
Jul 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Dr. Kimberly Anzek, PHDNPI 1922493535
Title
Clinical Psychologist
Phone
(937) 813-6240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

37 Iron Gate Park Dr
Centerville, OH 45459-4616

Mailing address

9125 Payne Farm LN
Washington Township, OH 45458-9393
Phone (937) 475-7759

National Provider Directory

National Provider Directory

Locations

37 Iron Gate Park Dr
Dayton, OH 45459
Phone (937) 813-6240

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1952292815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9125 PAYNE FARM LN",
            "city": "WASHINGTON TOWNSHIP",
            "state": "OH",
            "postal_code": "454589393",
            "telephone_number": "937-475-7759",
            "fax_number": "937-619-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 IRON GATE PARK DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594616",
            "telephone_number": "937-813-6240",
            "fax_number": "937-619-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "ANZEK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "937-813-6240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.