Individual provider Active NPI

Rebecca Juanette Moredock-Mueller, M.D.

  • Psychiatry Physician
  • Muncie, IN
National Provider Identifier
1871654137
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01048524A Issued in IN
Practice address
3111 W Jackson St
Muncie, IN 47304-4371
Phone
(765) 284-0879
Fax
(765) 284-1480
NPI assigned
Dec 12, 2006
Last updated
Jan 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01048524A IN Primary

Addresses

Primary practice location

3111 W Jackson St
Muncie, IN 47304-4371

Mailing address

3111 W Jackson St
Muncie, IN 47304-4371
Phone (765) 284-0879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01048524AINMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients
Community Hospital of Indiana Inc Past Accepting new patients
Amh, Inc Past Accepting new patients
Central Indiana OB/GYN, LLC Past Accepting new patients
Community Health Network, Inc. Past Accepting new patients
Associates in Behavioral Counseling PC PastSince Sep 8, 2003 Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1871654137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 W JACKSON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044371",
            "telephone_number": "765-284-0879",
            "fax_number": "765-284-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 W JACKSON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044371",
            "telephone_number": "765-284-0879",
            "fax_number": "765-284-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREDOCK-MUELLER",
        "first_name": "REBECCA",
        "middle_name": "JUANETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01048524A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.