Mahina Mission Dba Moonflower Medicine and Psychiatry

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MAHINA MISSION DBA MOONFLOWER MEDICINE AND PSYCHIATRY

Practice address

4 Long Shoals Rd # B434
Arden, NC 28704-5544

Phone

(828) 239-9933

NPI assigned

Jul 6, 2021

Last updated

Jul 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Veronica Johnson, NPNPI 1326455635

Title

Pmhnp

Phone

(828) 239-9933

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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.

• Veronica Lynn Johnson, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Arden, NC
  • NPI 1326455635
  NPD Authorized official

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1457922080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LONG SHOALS RD # B434",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287045544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LONG SHOALS RD # B434",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287045544",
            "telephone_number": "828-239-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHINA MISSION DBA MOONFLOWER MEDICINE AND PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-06-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "828-239-9933",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "veronica@moonflowerpsychiatry.com",
            "affiliation": "N",
            "endpointDescription": "provider email address",
            "address_1": "4 Long Shoals Rd",
            "city": "Arden",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287045544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stacey Ann Lynch, MPT
• James Ryan Macdonell IV, M.D.
• Hannah Caroline Machemehl, MD
• Patricia Hoyle Macopson, FNP
• Erin Macy, DACM, L.AC
• Marcella Joy Malone, DACM
• Mandi Duggan LLC (Integrative Mental Health Collaborative)
• Yuqi Mao, M.D.
• Emery Marjenhoff, OTR/L
• Mark Jacobs OD PA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Arden, NC
• Providers in Arden, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.