MR. GARY MOSHER MD NPI 1073554747

NPI Information

  • NPI: 1073554747
  • Provider Name: MR. GARY MOSHER, MD
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • Address: 3040 N WICKHAM RD
    SUITE 3
    MELBOURNE, FL
    ZIP 32935
  • Phone: (321) 254-3042

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NPI Details

MR. Gary Mosher, MD is a child and adolescent psychiatry psychiatry neurology in Melbourne, FL. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. MR. Gary Mosher, MD NPI is 1073554747. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3040 N WICKHAM RD
SUITE 3
MELBOURNE, FL
ZIP 32935-369
Phone: (321) 254-3042
Fax: (321) 254-4770

The enumeration date for this NPI number is 6/10/2006 and was last updated on 3/31/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryME48860FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1371572800MEDICAIDFLORIDA
218192ZMEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE B
318192OTHERFLORIDABCBSFL
4F42135MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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