Lori Gross Mooney, CRNP-PMH

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R169704 Issued in MD

Practice address

532 Eastern Blvd
Suite 202
Essex, MD 21221-6738

Phone

(410) 391-8240

Fax

(443) 460-0293

NPI assigned

Jun 30, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Fishel, Watson, and Lemaire PAGroup PAC ID 0547225237, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Fishel, Watson, & Lemaire PA

  • Clinical Psychologist
  • Towson, MD
  • NPI 1518903905

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Fishel, Watson and Lemaire, P.a.

  • Clinical Social Worker
  • Towson, MD
  • NPI 1639709322

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1891006201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 EASTERN BLVD",
            "address_2": "SUITE 202",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212216738",
            "telephone_number": "410-391-8240",
            "fax_number": "443-460-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 EASTERN BLVD",
            "address_2": "SUITE 202",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212216738",
            "telephone_number": "410-391-8240",
            "fax_number": "443-460-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "LORI",
        "middle_name": "GROSS",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R169704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332518100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Me Home Health Care Inc
• Middle River Healthcare
• Middle River Healthcare, LLC
• Mind at Peace Psychotherapy
• MNR Industries, LLC
• Artu Jerushia Mutada, PMHNP-BC
• Sonay Naqib, D.M.D.
• Naresh K. Khanna MD PC
• Nas Place a Haven of Rest Inc.
• Aziz Ud-Din Nasir, PHARMACIST

• Psychiatric/Mental Health Nurse Practitioner in Essex, MD
• Providers in Essex, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.