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General NPI Number Information
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NPI Number | 1841133808
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Entity Type | Organization
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Legal Business Name | MOSAIC MIND PSYCHIATRY
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 24 HICKORY LN
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City | CHALFONT
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State | PA
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Zip | 18914-2013
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Country | US
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Telephone | 215-208-7163
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Fax |
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Provider Business Mailing Address
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Address Line | 24 HICKORY LN
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City | CHALFONT
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State | PA
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Zip | 18914-2013
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | SARAH CARMINE
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Credential | PA-C
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Telephone | 215-208-7163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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