Moonstone Therapy and Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MOONSTONE THERAPY AND WELLNESS

Practice address

475 Wall St
Princeton, NJ 08540-1509

Phone

(609) 213-0128

NPI assigned

Sep 16, 2024

Organization subpart

No

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

Authorized official

Name

Shanya Roberson, LCSWNPI 1851968242

Title

Owner

Phone

(609) 213-0128

Specialties & licenses 1

Addresses

Other names 1

• Moonstone Therapy and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shanya Roberson, LCSW

  • Clinical Social Worker
  • Princeton, NJ
  • NPI 1851968242
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1124855945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 WALL ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401509",
            "telephone_number": "609-213-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 WALL ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401509",
            "telephone_number": "609-213-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONSTONE THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "SHANYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-213-0128",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moonstone Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Raymond Montenero, DDS
• Montgomery Behavioral Healthcare P.C.
• Montgomery Internal Medicine Group PC
• Montgomery Pediatric Dentistry
• Anissa L Moody, PH.D.
• Moore Mobile Medical Services LLC
• Elizabeth Moore, RD
• Kimmesha Moore
• Rowena Moore, SLPD
• Adrianna Morales

• Clinical Social Worker in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.