MEDICARE: MOSAIC MIND PSYCHIATRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	363AM0700X	Medical Physician Assistant
3	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1841133808
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOSAIC MIND PSYCHIATRY

Provider Business Mailing Address
First Line	:	24 HICKORY LN
Second Line	:
City	:	CHALFONT
State	:	PA
Zip	:	18914-2013
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 HICKORY LN
Second Line	:
City	:	CHALFONT
State	:	PA
Zip	:	18914-2013
Country	:	US
Telephone Number	:	215-208-7163
Fax Number	:

Authorized Official
Title or Position	:	MANAGER/OWNER
Name	:	SARAH CARMINE
Credential	:	PA-C
Telephone Number	:	215-208-7163

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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