Movin Behavioral Health PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MOVIN BEHAVIORAL HEALTH PLLC

Practice address

14205 SE 36TH St
Bellevue, WA 98006-1596

Phone

(360) 821-4302

NPI assigned

Aug 12, 2022

Organization subpart

No

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

Authorized official

Name

Justin Maduobi, PMHNPNPI 1437803855

Title

Owner

Phone

(360) 821-4302

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MoVin Behavioral Health Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 2

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

• Justin Maduobi

  • Psychiatric/Mental Health Nurse Practitioner
  • Marysville, WA
  • NPI 1437803855
  Medicare reassignment NPD Authorized official
• Henry Tambe, ARNP/PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marysville, WA
  • NPI 1700608221
  Medicare reassignment NPD

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1316675754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14205 SE 36TH ST STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061553",
            "telephone_number": "832-713-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14205 SE 36TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061596",
            "telephone_number": "360-821-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVIN BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "MADUOBI",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-821-4302",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2206630",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MoVin Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alysse M. Moury, AUD
• Sarah Donya Mousavi
• Namir A Moussa, DC
• Haley Moutier, LMHC
• Move Well, Be Well PLLC
• Debra S Mowat, MA PHD LMHC
• Nicholas Moy, M.D.
• Allison Goodwin Moyes, M.D.
• MSD International LLC
• Mti Physical Therapy Bellevue

• Psychiatric/Mental Health Nurse Practitioner in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.