Organization Active NPI

Mood Mental Health PLC

  • Psychiatry Physician
  • Okemos, MI
National Provider Identifier
1205675279
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MOOD MENTAL HEALTH PLC
Practice address
3681 Okemos Rd Ste 500
Okemos, MI 48864-6923
Phone
(517) 528-5787
NPI assigned
May 21, 2024
Last updated
Nov 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Authorized official

Name
Samantha Middleton
Title
Authorized Agent
Phone
(989) 899-7065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

3681 Okemos Rd Ste 500
Okemos, MI 48864-6923

Mailing address

3681 Okemos Rd Ste 500
Okemos, MI 48864-6923
Phone (517) 528-5787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240723000415 MI Part B Supplier - Clinic/Group Practice 5193261543 Receives reassigned benefits from 5 practitioners
Practice locations: Okemos, MI

National Provider Directory

National Provider Directory

Locations

3681 Okemos Rd
Ste 500
Okemos, MI 48864
Phone (517) 273-4944

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1205675279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3681 OKEMOS RD STE 500",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646923",
            "telephone_number": "517-528-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3681 OKEMOS RD STE 500",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646923",
            "telephone_number": "517-528-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOOD MENTAL HEALTH PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "989-899-7065"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.