Moon Spot Wellness Center PC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

176838 Issued in MA

Legal business name

MOON SPOT WELLNESS CENTER PC

Practice address

36 N Bedford St Ste 3
East Bridgewater, MA 02333-1186

Phone

(508) 735-9406

Fax

(774) 568-5605

NPI assigned

May 25, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Mechelle Plasse, APRN, PHDNPI 1528119989

Title

Advanced Practice Nurse Practitione

Phone

(508) 735-9406

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

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

• Mechelle Jean Plasse, RN CS, NP

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • East Bridgewater, MA
  • NPI 1528119989
  NPD Authorized official

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1447741350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 OLD PLEASANT ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242139",
            "telephone_number": "508-735-9406",
            "fax_number": "774-568-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 N BEDFORD ST STE 3",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331186",
            "telephone_number": "508-735-9406",
            "fax_number": "774-568-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON SPOT WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "PLASSE",
        "authorized_official_first_name": "MECHELLE",
        "authorized_official_title_or_position": "ADVANCED PRACTICE NURSE PRACTITIONE",
        "authorized_official_telephone_number": "508-735-9406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN, PHD"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "176838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "PN0618",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1854984",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "176838",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara L Minnock, NP
• Kelli Mitchell, DPT
• Hassan Moeinzad, DMD
• Veena Molagavalli, M.D.
• Lilizita Monteiro, NP
• Stephanie Mustone, RN
• Katherine Nelson, LICSW
• New Moon Nutrition, LLC
• Sean Joseph Noonan
• Nova Medical Group PC

• Psychiatric/Mental Health Nurse Practitioner in East Bridgewater, MA
• Providers in East Bridgewater, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.