Caitlin G. Mosman Block

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6129-125 Issued in WI

Practice address

2961 Yarmouth Greenway Dr Ste B
Fitchburg, WI 53711-5809

Phone

(608) 512-0461

NPI assigned

Jun 17, 2012

Last updated

May 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Caitlin G. Mosman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Riverbirch Therapy, LLC

  dba Riverbirch Therapy

  • Counselor
  • Fitchburg, WI
  • NPI 1952890618
  NPD Authorized official

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

{
    "created_epoch": "1339891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525478400000",
    "number": "1962765867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 YARMOUTH GREENWAY DR STE B",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115809",
            "telephone_number": "608-512-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 YARMOUTH GREENWAY DR STE B",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115809",
            "telephone_number": "608-512-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSMAN BLOCK",
        "first_name": "CAITLIN",
        "middle_name": "G.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-17",
        "last_updated": "2018-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6129-125",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "6129-125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "MOSMAN",
            "middle_name": "G.",
            "credential": "MS, LPC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew D Moore, MD
• Cynthia R Moore, APSW
• Mary Patricia Moran, M.S.
• Michelle Mortensen, PA-C
• Haley Noel Moshier, OTR/L
• Golshan Motamedi, MS LMFT
• Shalla Moy
• Christopher K Mukora
• Robert Charles Muller, R.PH.
• Wayne E Musser Jr., MD

• Professional Counselor in Fitchburg, WI
• Providers in Fitchburg, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2018; 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.