Active NPI
Moonflower & Morning Glory, Inc
- Psychologist
- Lake Worth, FL
National Provider Identifier
1124422647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY8414
- Legal business name
- MOONFLOWER & MORNING GLORY, INC
- Practice address
- 1609 N Federal Hwy
Lake Worth, FL 33460-6644 - Phone
- (561) 582-3459
- NPI assigned
- Oct 13, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sue Babcock, PSY.D.
- Title
- Owner
- Phone
- (651) 295-8333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY8414 | FL | Primary |
Addresses
Primary practice location
1609 N Federal Hwy
Lake Worth, FL 33460-6644
Mailing address
1609 N Federal Hwy
Lake Worth, FL 33460-6644
Phone (561) 582-3459
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Rehabilitation Occupational Therapist
- Lake Worth, FL
- NPI 1598733115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416182400000",
"number": "1124422647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 N FEDERAL HWY",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334606644",
"telephone_number": "561-582-3459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 N FEDERAL HWY",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334606644",
"telephone_number": "561-582-3459"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOONFLOWER & MORNING GLORY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-13",
"last_updated": "2014-11-17",
"status": "A",
"authorized_official_last_name": "BABCOCK",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "651-295-8333",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "FL",
"license": "PY8414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.