Active NPI
Moon Mental Health PLLC
- Psychiatry Physician
- Paoli, PA
National Provider Identifier
1881288892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- MOON MENTAL HEALTH PLLC
- Practice address
- 1710 E Lancaster Ave # 302
Paoli, PA 19301-1507 - Phone
- (925) 238-8130
- NPI assigned
- Feb 22, 2021
- 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
- Jennifer L Sweet
- Title
- Co-Founder
- Phone
- (857) 273-1023
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
1710 E Lancaster Ave # 302
Paoli, PA 19301-1507
Mailing address
1710 E Lancaster Ave # 302
Paoli, PA 19301-1507
National Provider Directory
National Provider DirectoryLocations
1710 Lancaster Ave
#302
Paoli, PA 19301
Phone (857) 273-1023
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Newton Center, MA
- NPI 1780909747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613952000000",
"number": "1881288892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 E LANCASTER AVE # 302",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 E LANCASTER AVE # 302",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011507",
"telephone_number": "925-238-8130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOON MENTAL HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-22",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A",
"authorized_official_last_name": "SWEET",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CO-FOUNDER",
"authorized_official_telephone_number": "857-273-1023"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.