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DR. ANDREA MOSQUEDA PH.D.
NPI 1194202085
Psychologist - Clinical in Chicago, IL

Active since July 23, 2018
4217 W 59TH ST, CHICAGO, IL 60629(773) 340-1321 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 27, 2021, Jan 26, 2021, Jul 1, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Andrea Mosqueda Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREA MOSQUEDA PH.D. (NPI 1194202085) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071.010614) and active in the NPI registry since July 2018. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1194202085
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ANDREA MOSQUEDACredential: PH.D.
Location Address4217 W 59TH STChicago, IL 60629
Mailing Address4217 W 59th StChicago, IL 60629-4944 · (773) 340-1321
Phone(773) 340-1321
Sole ProprietorYes
Enumeration DateJuly 23, 2018
Last NPPES UpdateSeptember 27, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2021
✔ NPI 1194202085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071.010614
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4217 W 59TH ST, Chicago, IL 60629
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Secondary Practice Location 1

Location 14217 W 59th StChicago, IL 60629 · Phone (773) 572-4935 · Fax (773) 284-9205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Mosqueda's NPI number?

The NPI number for Andrea Mosqueda is 1194202085. It was assigned to this individual provider in the NPPES registry on July 23, 2018.

Where is Andrea Mosqueda located?

Andrea Mosqueda practices at 4217 W 59th St, Chicago, IL 60629. The listed phone number is (773) 340-1321.

What is Andrea Mosqueda's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Andrea Mosqueda was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.