Active NPI
Mood Center LLC
- Nurse Practitioner
- Annapolis, MD
National Provider Identifier
1861236655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- MOOD CENTER LLC
- Practice address
- 927 West St
Annapolis, MD 21401-3653 - Phone
- (443) 940-6663
- NPI assigned
- Jun 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Larry Adler
- Title
- Ceo
- Phone
- (240) 277-4802
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
927 West St
Annapolis, MD 21401-3653
Mailing address
1783 Forest Dr # 226
Annapolis, MD 21401-4229
Phone (240) 277-4802
National Provider Directory
National Provider Directory- Tax ID family
- Mood Center LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric/Mental Health Nurse Practitioner
- Columbia, MD
- NPI 1922822790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719273600000",
"number": "1861236655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1783 FOREST DR # 226",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214014229",
"telephone_number": "240-277-4802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 WEST ST",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013653",
"telephone_number": "443-940-6663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOOD CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-25",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A",
"authorized_official_last_name": "ADLER",
"authorized_official_first_name": "LARRY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "240-277-4802"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.