Moon Wellness Group, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MOON WELLNESS GROUP, PLLC

Practice address

2395 Oak Valley Dr Ste 100
Ann Arbor, MI 48103-9118

Phone

(734) 681-0830

NPI assigned

Jun 2, 2021

Organization subpart

No

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

Authorized official

Name

Miea Moon, PHDNPI 1538671250

Title

PHD

Phone

(734) 681-0830

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Miea Moon, MA, PHD

  • Clinical Psychologist
  • Ann Arbor, MI
  • NPI 1538671250
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1811563604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2395 OAK VALLEY DR STE 100",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039118",
            "telephone_number": "734-707-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 OAK VALLEY DR STE 100",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039118",
            "telephone_number": "734-681-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON WELLNESS GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "MIEA",
        "authorized_official_title_or_position": "PHD",
        "authorized_official_telephone_number": "734-681-0830",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damon Jared-Hunter Montroy
• Karen Monts
• Linda L Moody, LMSW
• Travis Moody, B.A., PSYCHOLOGY
• Amy Diane Mook, CGC
• Jiyong Moon, MD
• Miea Moon, MA, PHD
• Sol C Moon, MD
• Brandi Jean Mooney, LISW
• Brooke Mooney

• Clinical Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.