Thomas Francis Mooney, EDD

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

6301001704 Issued in MI

Practice address

3206 62ND SE
Saugatuck, MI 49453-9701

Phone

(616) 666-1510

Fax

(866) 752-2359

NPI assigned

Feb 12, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cognitive Therapy of Grand Rapids

  • Psychologist
  • Saugatuck, MI
  • NPI 1184019077
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1003084161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 62ND SE",
            "city": "SAUGATUCK",
            "state": "MI",
            "postal_code": "494539701",
            "telephone_number": "616-666-1510",
            "fax_number": "866-752-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 62ND SE",
            "city": "SAUGATUCK",
            "state": "MI",
            "postal_code": "494539701",
            "telephone_number": "616-666-1510",
            "fax_number": "866-752-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "THOMAS",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-12",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "6301001704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holland Community Hospital
• Jodie Kyes Supportive Solutions Inc.
• Amy Elizabeth Kyes, APRN BC
• Lakeshore Pharmacies, Inc.
• James Lynch, MD
• David Moore, D.O.
• Eric Kees Peet, DC
• Psychiatric Associates of West Michigan, PLC
• Saugatuck Chiropractic Clinic, LLC
• Rosanne D Vasiloff, MD

• All providers in Saugatuck, MI
• Cognitive & Behavioral Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.