Mooney Consulting PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4773 Issued in MN

Legal business name

MOONEY CONSULTING PLLC

Practice address

7200 France Ave S
Suite 224
Edina, MN 55435-4300

Phone

(952) 831-0422

Fax

(952) 831-0443

NPI assigned

Mar 9, 2012

Last updated

Mar 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marc Edward Mooney, PH.D.

Title

Clinical Psychologist

Phone

(612) 991-6875

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1033484951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 BENJAMIN ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184003",
            "telephone_number": "612-991-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 FRANCE AVE S",
            "address_2": "SUITE 224",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354300",
            "telephone_number": "952-831-0422",
            "fax_number": "952-831-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONEY CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "MOONEY",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "612-991-6875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "4773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "987635000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Montgomery Verjovsky, LMFT
• Katherine Moody, P.A.
• David Myungkee Moon, M.D.
• Kirsten Marie Moon, PT
• Andrea Moonen, L.AC.
• Lauren Leigh Mooney, LPCC
• Moore Chiropractic PLLC
• Alicia K Moore
• Casey Paul Moore, D.C.
• John C. Moore, M.D.

• Clinical Psychologist in Edina, MN
• Providers in Edina, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.