Mosaic Psychological Services, LLC
NPI 1770011058ActiveOrganization· Psychologist· Thomasville, GA
Psychologist in Thomasville, Georgia, registered in NPPES in May 2017. The authorized official on file is Shannon Mullen Magbalon, PSYCHOLOGIST, Owner.
Overview
| NPI | 1770011058 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 31, 2017 |
| Last updated in NPPES | May 31, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PSY003406 | GA |
| Psychologist | 103T00000X | PSY003712 | GA |
| Social Worker, Clinical | 1041C0700X | LCSW004523 | GA |
| Marriage & Family Therapist | 106H00000X | LMFT001440 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other psychologists in Thomasville
- 1629210604
- 1730112723
- 1831413426
- 1902366297
- 1740259480
- 1720130164
- 1073913281
- 1700794906
- 1013880244
- 1871645226
- 1538192539
- 1225083926
All 19 psychologists in Thomasville · All psychologists in Georgia