Organization Active NPI

New Moon Psychiatry, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Biloxi, MS
National Provider Identifier
1780409607
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
NEW MOON PSYCHIATRY, PLLC
Practice address
770 Water St Ste 457
Biloxi, MS 39530-4220
Phone
(828) 484-1801
Fax
(877) 349-6373
NPI assigned
Nov 15, 2024
Organization subpart
Yes
Parent organization
NEW MOON PSYCHIATRY, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Dr. Haley Moon, PMHNP-BCNPI 1255713624
Title
Owner/Provider
Phone
(828) 484-1801

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

770 Water St Ste 457
Biloxi, MS 39530-4220

Mailing address

770 Water St Ste 457
Biloxi, MS 39530-4220
Phone (828) 484-1801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250826002980 MS Part B Supplier - Clinic/Group Practice 6305346057 Receives reassigned benefits from 1 practitioner
Practice locations: Biloxi, MS

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
New Moon Psychiatry PLLC2 organizations share this tax ID, including this one
Part of
New Moon Psychiatry PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1780409607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 WATER ST STE 457",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395304220",
            "telephone_number": "828-484-1801",
            "fax_number": "877-349-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 WATER ST STE 457",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395304220",
            "telephone_number": "828-484-1801",
            "fax_number": "877-349-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MOON PSYCHIATRY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW MOON PSYCHIATRY, PLLC",
        "enumeration_date": "2024-11-15",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "828-484-1801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.