Individual provider Active NPI

Elizabeth Anne Mosco, PH.D.

  • Psychologist
  • Reno, NV
National Provider Identifier
1962645234
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0570 Issued in NV
Practice address
9645 Gateway Dr
Suite B
Reno, NV 89521-4190
Phone
(775) 354-6371
Fax
(775) 295-8028
NPI assigned
Apr 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0570 NV Primary

Addresses

Primary practice location

9645 Gateway Dr
Suite B
Reno, NV 89521-4190

Mailing address

9645 Gateway Dr
Suite B
Reno, NV 89521-4190
Phone (775) 354-6371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170106001512 NV Practitioner - Clinical Psychologist 9234410168 Practice locations: Reno, NV

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9645 Gateway Dr
Suite B
Reno, NV 89521-2967
Phone (775) 354-6371

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0570NVMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Neuropsychology, PLLC Past Accepting new patients

Organizations & group practices 1

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": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1962645234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9645 GATEWAY DR",
            "address_2": "SUITE B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214190",
            "telephone_number": "775-354-6371",
            "fax_number": "775-295-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9645 GATEWAY DR",
            "address_2": "SUITE B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214190",
            "telephone_number": "775-354-6371",
            "fax_number": "775-295-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCO",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-15",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NV",
            "license": "0570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.