Mood Institute PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MOOD INSTITUTE PLLC

Practice address

3530 Post Rd Ste 302
Southport, CT 06890-1169

Phone

(203) 701-9737

Fax

(877) 325-2241

NPI assigned

Jan 5, 2024

Last updated

Jan 5, 2024By 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

Lisa HardingNPI 1629427778

Title

Medical Director

Phone

(203) 701-9737

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mood Institute PLLC

  • Psychiatry Physician
  • Milford, CT
  • NPI 1104440098

  O20200804000631

  Same enrollment

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Harding, M.D.

  • Psychiatry Physician
  • Milford, CT
  • NPI 1629427778
  NPD Authorized official
• Terrell David Holloway, MD

  • Psychiatry Physician
  • Milford, CT
  • NPI 1306342712

  Single Specialty

  NPD
• Hannah B Sullivan, PA-C

  • Physician Assistant
  • Meriden, CT
  • NPI 1760790869
  NPD (past)

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1184494676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 WHEELERS FARMS RD STE 306",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064619109",
            "telephone_number": "203-701-9737",
            "fax_number": "877-325-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 POST RD STE 302",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068901169",
            "telephone_number": "203-701-9737",
            "fax_number": "877-325-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOOD INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "HARDING",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "203-701-9737"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Lee Mellinger, OD
• Delaina Merkert, RN
• Ana Cristina Jardim Messenger, LCSW
• Elizabeth Weiner Miller, PSY.D.
• Jill Miller, M.S., CCC-SLP
• Kainat Naeem
• New Learning Therapy Center
• Jack Newton, DMD
• Diana Ngo, OD
• Tyler Nichols

• Psychiatry Physician in Southport, CT
• Providers in Southport, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.