Mood by Kim

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MOOD BY KIM

Practice address

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399

Phone

(623) 777-7551

Fax

(623) 666-6612

NPI assigned

Mar 8, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Cochran, PHD APRN PMHNP-BC

Title

Owner/Provider

Phone

(623) 777-7551

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Kimberly Cochran Doing business as

Locations

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

{
    "created_epoch": "1583625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1497380604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8194 W DEER VALLEY RD STE 106",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822127",
            "telephone_number": "623-777-7551",
            "fax_number": "623-666-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "623-777-7551",
            "fax_number": "623-666-6612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2105 Vista Oeste NW # E-1331",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871203693",
            "country_code": "US",
            "telephone_number": "623-777-7551",
            "fax_number": "623-666-6612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4730 University Way NE # 104-2269",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981054424",
            "country_code": "US",
            "telephone_number": "623-777-7551",
            "fax_number": "623-666-6612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W 5th St",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852810400",
            "country_code": "US",
            "telephone_number": "623-777-7551",
            "fax_number": "623-666-6612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOOD BY KIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-08",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "623-777-7551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD APRN PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "993686",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06543815",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2156425",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimberly Cochran",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kimberly Cochran",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Monterrosa Sanchez, DNP, APRN, FNP-BC
• Gina Christine Montie, PAC
• Angelica Gabriela Montilla
• Lanett Montoya, LMT
• Yvette Addease Montsho, LPC
• Melissa Moody
• Shannon Mooney, DO
• Chelsea Moore Fulford
• Laurie Moore Hartford, L.M.T.
• Carla Moore

• Adult Mental Health Clinic/Center in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.