Individual provider Active NPI

Valerie Meshack Mosley, M.D.

  • Child & Adolescent Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1992896559
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
J7817 Issued in TX
Practice address
3803 Boulder Dr
Dallas, TX 75233-3114
Phone
(972) 502-4020
Fax
(214) 932-7509
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 28592 SC
Child & Adolescent Psychiatry Physician 2084P0804X J7817 TX Primary

Addresses

Primary practice location

3803 Boulder Dr
Dallas, TX 75233-3114

Mailing address

517 Bridge St
St Matthews, SC 29135-8437
Phone (803) 655-9071

Other practice location 1

2319 Saint Matthews Rd
Orangeburg, SC 29118-2042
Phone (803) 536-1571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061106000335 SC Practitioner - Psychiatry 5698772606 Reassigns benefits to 4 organizations
I20161110002393 TX Practitioner - Psychiatry 5698772606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Oklahoma College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

164 Waccamaw Medical Park Dr
Conway, SC 29526-8903
Phone (843) 347-5060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28592SCMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Aiken Regional Medical Centers LLC Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Oct 6, 2014 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Aug 13, 2016 Accepting new patients
Aiken Regional Medical Centers, LLC. CurrentSince May 13, 2022 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Aug 13, 2016 Accepting new patients
Piedmont Physician Network LLC CurrentSince Jan 18, 2021 Accepting new patients
Aiken Regional Medical Centers LLC CurrentSince May 13, 2022 Accepting new patients
Three Rivers Behavioral Health LLC CurrentSince May 23, 2022 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Oct 6, 2014 Accepting new patients

Locations

655 Medical Park Dr
Aiken, SC 29801
Phone (803) 641-5900

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

164 Waccamaw Medical Park Dr
Conway, SC 29526
Phone (843) 347-4888

25 Hospital Ctr
Ste 300
Hilton Head Island, SC 29926
Phone (843) 681-8203

25 Hospital Ctr
Hilton Head Island, SC 29926
Phone (843) 682-2345

2319 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 536-1571

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950

2900 Sunset Blvd
West Columbia, SC 29169
Phone (803) 744-3206

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1992896559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 BRIDGE ST",
            "city": "ST MATTHEWS",
            "state": "SC",
            "postal_code": "291358437",
            "telephone_number": "803-655-9071",
            "fax_number": "803-655-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 BOULDER DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752333114",
            "telephone_number": "972-502-4020",
            "fax_number": "214-932-7509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2319 Saint Matthews Rd",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "SC",
            "postal_code": "291182042",
            "country_code": "US",
            "telephone_number": "803-536-1571",
            "fax_number": "803-536-1463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "VALERIE",
        "middle_name": "MESHACK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "SC",
            "license": "28592",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "J7817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.