Active NPI
MBS Wellness, LLC
- General Practice Physician
- Indianapolis, IN
National Provider Identifier
1861934036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MBS WELLNESS, LLC
- Practice address
- 8770 Guion Rd Ste L
Indianapolis, IN 46268-3017 - Phone
- (888) 954-9355
- Fax
- (717) 918-5666
- NPI assigned
- Nov 4, 2016
- 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
- Mr. Michael Mooney
- Title
- Owner
- Phone
- (888) 954-9355
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
8770 Guion Rd Ste L
Indianapolis, IN 46268-3017
Mailing address
1810J York Rd Ste 192
Lutherville Timonium, MD 21093-5118
Phone (410) 252-8859
Other practice location 1
4033 Linglestown Rd Ste 1
Harrisburg, PA 17112-1153
Phone (888) 954-9355
Other practice location 2
8660 Guion Rd
Indianapolis, IN 46268-3011
Phone (888) 954-9355
Other practice location 3
3913 Hartzdale Dr
Suite 1310
Camp Hill, PA 17011
Phone (410) 252-8859
National Provider Directory
National Provider DirectoryLocations
8770 Guion Rd
Ste L
Indianapolis, IN 46268
Phone (317) 388-8755
1810 York Rd
Ste 192
Luthvle Timon, MD 21093
3913 Hartzdale Dr
Ste 1310
Camp Hill, PA 17011
Phone (410) 252-8859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612224000000",
"number": "1861934036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810J YORK RD STE 192",
"city": "LUTHERVILLE TIMONIUM",
"state": "MD",
"postal_code": "210935118",
"telephone_number": "410-252-8859",
"fax_number": "717-918-5666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8770 GUION RD STE L",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462683017",
"telephone_number": "888-954-9355",
"fax_number": "717-918-5666"
}
],
"practiceLocations": [
{
"address_1": "4033 Linglestown Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171121153",
"country_code": "US",
"telephone_number": "888-954-9355",
"fax_number": "717-918-5666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8660 Guion Rd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462683011",
"country_code": "US",
"telephone_number": "888-954-9355",
"fax_number": "717-918-5666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3913 Hartzdale Dr",
"address_2": "Suite 1310",
"address_purpose": "LOCATION",
"city": "Camp Hill",
"state": "PA",
"postal_code": "17011",
"country_code": "US",
"telephone_number": "410-252-8859",
"fax_number": "717-918-5666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MBS WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-04",
"last_updated": "2021-02-02",
"certification_date": "2021-02-01",
"status": "A",
"authorized_official_last_name": "MOONEY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "888-954-9355",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.