Active NPI
Cheung Moon
- Psychiatry Physician
- Goshen, NY
National Provider Identifier
1326104498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 13080
- Practice address
- 3 Hatfield LN
Suite 1
Goshen, NY 10924-6731 - Phone
- (845) 291-7480
- NPI assigned
- Dec 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 13080 | DC | Primary |
Addresses
Primary practice location
3 Hatfield LN
Suite 1
Goshen, NY 10924-6731
Mailing address
965 Huntington Dr
Fishkill, NY 12524-4925
Phone (845) 440-7154
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD110188-1 | Other | NY | LICENSE NO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13080 | DC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Behavioral Medicine, PC | Past | Accepting new patients | |
| Family Services, Inc. | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Poughkeepsie, NY
- NPI 1316939457
Psychiatry
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Goshen, NY
- NPI 1881602852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326104498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 HUNTINGTON DR",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125244925",
"telephone_number": "845-440-7154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 HATFIELD LN",
"address_2": "SUITE 1",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109246731",
"telephone_number": "845-291-7480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "CHEUNG",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DC",
"license": "13080",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NO.",
"identifier": "MD110188-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.