NPIMap

Organization Active NPI

Moonlight Health Partners, LLC

  • Rehabilitation Psychologist
  • Baltimore, MD
National Provider Identifier
1710807482
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
Legal business name
MOONLIGHT HEALTH PARTNERS, LLC
Practice address
802 Harlem Ave
Baltimore, MD 21201-1407
Phone
(443) 514-8302
NPI assigned
Jul 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Jovita Nwaugwu, MSN AGPCNP-BC
Title
Program Director
Phone
(443) 514-8302

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TR0400X Primary
Child & Adolescent Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0807X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

802 Harlem Ave
Baltimore, MD 21201-1407

Mailing address

7701 Belair Rd
Nottingham, MD 21236-4005
Phone (443) 514-8302

National Provider Directory

National Provider Directory
Tax ID family
Moonlight Health Partners LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1710807482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 BELAIR RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364005",
            "telephone_number": "443-514-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 HARLEM AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011407",
            "telephone_number": "443-514-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONLIGHT HEALTH PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "NWAUGWU",
        "authorized_official_first_name": "JOVITA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "443-514-8302",
        "authorized_official_credential": "MSN AGPCNP-BC"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.