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DR. SUSAN LYNN MOSCHOS PH.D.
NPI 1780053223
Psychologist - Clinical Child & Adolescent in Estero, FL

Active since September 15, 2015PECOS Enrolled
3501 HEALTH CENTER BLVD STE 2190, ESTERO, FL 34135(239) 468-0300(239) 343-4257 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 8, 2022, Oct 26, 2022 (2 updates tracked since 2022).

About Dr. Susan Lynn Moschos Ph.d. NPPES

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

DR. SUSAN LYNN MOSCHOS PH.D. (NPI 1780053223) is an individual clinical child & adolescent provider in Estero, Florida, licensed in Florida (PY10528) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Myers.

NPPES Registry Identity

NPI1780053223
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. SUSAN LYNN MOSCHOSCredential: PH.D.
Location Address3501 HEALTH CENTER BLVD STE 2190Estero, FL 34135-8133
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 468-0300 · Fax (239) 343-4257
Phone(239) 468-0300
Fax(239) 343-4257
Sole ProprietorYes
Enumeration DateSeptember 15, 2015
Last NPPES UpdateNovember 8, 20222 updates tracked since enumeration
NPPES CertifiedNovember 8, 2022
✔ NPI 1780053223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
Licenses✔ Licensed in FL · PY10528✔ Licensed in NC · 4541
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
3501 HEALTH CENTER BLVD STE 2190, Estero, FL 34135
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Secondary Practice Location 1

Location 115901 Bass Rd Ste 108Fort Myers, FL 33908-3838 · Phone (239) 343-6050 · Fax (239) 343-6051

Other Identifiers 1

Medicaid116060600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan Lynn Moschos Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Susan Moschos reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lee Memorial Health System
9.9 mi
Federally Qualified Health Center (FQHC)
9800 S HEALTHPARK DR STE 110
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,345 clinicians in this Medicare group
NPI 1770165920 (239) 343-6050
Lee Health System Inc
10 mi
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group
NPI 1942058557 (239) 424-1500
Lecci Psychological Services, PLLC
589 mi
Psychologist
219 RACINE DR STE B, MARS MEMORY HEALTH NETWORK
Wilmington, NC 28403
  • Reassigned Medicare billing, North Carolina enrollment
  • 14 clinicians in this Medicare group
NPI 1811976426 (910) 791-6277

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KILONDRA C.V DAVIS LMHC, NCC
Counselor (Mental Health)
3501 HEALTH CENTER BLVD STE 2190
ESTERO, FL 34135
Lee County (239) 343-6050
DR. KRISTEN ELIZABETH BOLOMEY PSY.D.
Psychologist
3501 HEALTH CENTER BLVD STE 2190
ESTERO, FL 34135
Lee County (239) 343-6050
DR. ALEX ROBERTS PH.D.
Psychologist
3501 HEALTH CENTER BLVD STE 2190
ESTERO, FL 34135
Lee County (239) 468-0300
LEE MEMORIAL HEALTH SYSTEM
Clinic/Center (Federally Qualified Health Center (FQHC))
3501 HEALTH CENTER BLVD STE 2190
ESTERO, FL 34135
Lee County (239) 343-6050

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 Susan Moschos's NPI number?

The NPI number for Susan Moschos is 1780053223. It was assigned to this individual provider in the NPPES registry on September 15, 2015.

Where is Susan Moschos located?

Susan Moschos practices at 3501 Health Center Blvd Ste 2190, Estero, FL 34135. The listed phone number is (239) 468-0300.

What is Susan Moschos's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Susan Moschos enrolled in Medicare?

Yes. Susan Moschos is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Susan Moschos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Moschos reassigns Medicare benefits to 3 organizations: Lee Memorial Health System (Fort Myers, FL), Lee Health System Inc (Fort Myers, FL) and Lecci Psychological Services, PLLC (Wilmington, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Moschos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Moschos accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 2 other insurers list Susan Moschos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Moschos was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.