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: July 19, 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.Information from the official NPPES registry record, last updated September 27, 2021.

NPPES Registry Identity

NPI1194202085
Entity TypeIndividualFemale
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
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. How NPI validation works

Primary Specialty

Psychologist · Clinical

Taxonomy 103TC0700X · Behavioral Health & Social Service Providers

Licensed in IL · 071.010614

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training,… Show more

4217 W 59TH ST, Chicago, IL 60629

Also on File with NPPES

Secondary Location1
4217 W 59th St
Chicago, IL 60629
Phone (773) 572-4935 · Fax (773) 284-9205

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194202085, enumerated as an "individual" on July 23, 2018.

The provider is located at 4217 W 59TH ST CHICAGO, IL 60629 and the phone number is (773) 340-1321.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.