Rene Helen Mooney, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP4883 Issued in MN

Practice address

313 Riverside Ave
Thief River Falls, MN 56701-2825

Phone

(218) 755-5050

NPI assigned

Dec 18, 2007

Last updated

Jun 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rene Mooney PSYD PLLC

  dba Storybook Wellness Center

  • Clinical Psychologist
  • Thief River Falls, MN
  • NPI 1932721818
  Authorized official Same address or phone

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1477737120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 RIVERSIDE AVE",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567012825",
            "telephone_number": "218-755-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 RIVERSIDE AVE",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567012825",
            "telephone_number": "218-755-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 3rd St E",
            "address_purpose": "LOCATION",
            "city": "Thief River Falls",
            "state": "MN",
            "postal_code": "567012104",
            "country_code": "US",
            "telephone_number": "218-755-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Red Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Thief River Falls",
            "state": "MN",
            "postal_code": "567012133",
            "country_code": "US",
            "telephone_number": "218-755-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Labree Ave South",
            "address_purpose": "LOCATION",
            "city": "Thief River Falls",
            "state": "MN",
            "postal_code": "567012819",
            "country_code": "US",
            "telephone_number": "218-681-4240",
            "fax_number": "218-683-4362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "RENE",
        "middle_name": "HELEN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-18",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP4883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17564",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Thief River Falls, MN
• Providers in Thief River Falls, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.