Organization Active NPI

MBS Wellness, LLC

  • General Practice Physician
  • Indianapolis, IN
National Provider Identifier
1861934036
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Feb 2, 2021

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.