Organization Active NPI

Moonlight Behavioral Center

  • Community/Behavioral Health Agency
  • Columbus, OH
National Provider Identifier
1740010669
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MOONLIGHT BEHAVIORAL CENTER
Practice address
4889 Sinclair Rd Ste 112
Columbus, OH 43229-5433
Phone
(614) 598-7888
NPI assigned
Aug 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Abdirashid SahalNPI 1811857543
Title
Owner
Phone
(614) 598-7888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4889 Sinclair Rd Ste 112
Columbus, OH 43229-5433

Mailing address

4889 Sinclair Rd Ste 112
Columbus, OH 43229-5433
Phone (614) 598-7888

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1740010669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4889 SINCLAIR RD STE 112",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295433",
            "telephone_number": "614-598-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4889 SINCLAIR RD STE 112",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295433",
            "telephone_number": "614-598-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONLIGHT BEHAVIORAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "SAHAL",
        "authorized_official_first_name": "ABDIRASHID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-598-7888"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.