NPIMap

Organization Active NPI

Full Moon Behavioral PLLC

Doing business as Full Moon Behavioral

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Castle Hills, TX
National Provider Identifier
1225847478
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FULL MOON BEHAVIORAL PLLC
Doing business as
Full Moon Behavioral
Practice address
2139 NW Military Hwy
Castle Hills, TX 78213-1831
Phone
(210) 940-0411
Fax
(830) 255-5812
NPI assigned
Jan 2, 2025
Last updated
Jan 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Elena Iulia Gherman, MDNPI 1225369614
Title
Owner
Phone
(210) 870-7412

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2139 NW Military Hwy
Castle Hills, TX 78213-1831

Mailing address

2139 NW Military Hwy
Castle Hills, TX 78213-1831
Phone (210) 940-0411

Other names 1

  • Full Moon Behavioral Doing business as

National Provider Directory

National Provider Directory

Locations

2139 NW Military Hwy
San Antonio, TX 78213
Phone (210) 870-7412

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": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1225847478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 NW MILITARY HWY",
            "city": "CASTLE HILLS",
            "state": "TX",
            "postal_code": "782131831",
            "telephone_number": "210-940-0411",
            "fax_number": "830-255-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 NW MILITARY HWY",
            "city": "CASTLE HILLS",
            "state": "TX",
            "postal_code": "782131831",
            "telephone_number": "210-940-0411",
            "fax_number": "830-255-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL MOON BEHAVIORAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "GHERMAN",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "IULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-870-7412",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Moon Behavioral",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Castle Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.