Patricia A Mooney, PSY.D.H.S.P.P

Primary specialty

Family PsychologistTaxonomy code 103TF0000X

License

20041185A Issued in IN

Practice address

3405 North Campbell Road
Valparaiso
Valparaiso, IN 46385

Phone

(219) 462-1023

NPI assigned

Mar 19, 2008

Last updated

Oct 8, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samaritan Counseling Centers, IncGroup PAC ID 2062463185, 5 clinicians

Porter-Starke Services IncGroup PAC ID 1951293554, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Porter-Starke Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Valparaiso, IN
  • NPI 1689627598
  Medicare reassignment Care Compare group NPD
• Samaritan Counseling Centers, Inc

  dba Samaritan Counselin Centers, Inc.

  • Preferred Provider Organization
  • Michigan City, IN
  • NPI 1417083460
  Medicare reassignment Care Compare group NPD
• Porter-Starke Services Inc.

  • Federally Qualified Health Center (FQHC)
  • Valparaiso, IN
  • NPI 1659196236
  NPD

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1205007127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 ROBB ST",
            "address_2": "SUITE 201",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332184",
            "telephone_number": "303-278-7418",
            "fax_number": "888-341-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 NORTH CAMPBELL ROAD",
            "address_2": "VALPARAISO",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "46385",
            "telephone_number": "219-462-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "PSY.D.H.S.P.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "IN",
            "license": "20041185A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200451640A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Moldenhauer, BCBA
• Lisa M Molengraft, RN
• Christine Monanteras, PHARMACIST
• Cheryl Lynn Montalbano-Rahmany, MA
• Frankie J Montanez, D.D.S.
• Candice Moore, LPC, MA
• Carolyn Moore, MA
• Julianne Mary Moore, APRN
• Michael David Moore, LMHC, NCC
• Angel Moreno

• Family Psychologist in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Family Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.