Moonbeam Wellness LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Salem, Massachusetts
1376208819- Practice location
- 1 Derby Sq # 10, Salem, MA 01970-3704
- Phone
- 978-219-2968
- Fax
- 978-209-3777
- Last updated
- October 2, 2024
Moonbeam Wellness LLC is a healthcare organization based in Salem, MA. Moonbeam Wellness LLC practices in Salem, MA. The NPI Number for Moonbeam Wellness LLC is 1376208819. The current practice location address for Moonbeam Wellness LLC is 1 Derby Sq # 10, Salem, MA 01970-3704 and can be reached out via phone at 978-219-2968 and via fax at 978-209-3777.
Provider Profile Details
- NPI Number
- 1376208819
- Provider Name
- Moonbeam Wellness LLC
- Provider Entity Type
- Organization
- Address
- 1 Derby Sq # 10, Salem, MA 01970-3704
- Phone Number
- 978-219-2968
- Fax Number
- 978-209-3777
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Martyna Rusinowicz, NP · Owner · 978-219-2968
- Provider Enumeration Date
- October 31, 2021
- Last Update Date
- October 2, 2024
- Certification Date
- October 2, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Derby Sq # 10
Salem, MA 01970-3704 - City
- Salem
- State
- Massachusetts
- Zip
- 01970-3704
- Phone Number
- 978-219-2968
- Fax Number
- 978-209-3777
Provider Business Mailing Address Details
- Address
- 1 Derby Sq # 10
Salem, MA 01970-3704 - City
- Salem
- State
- MA
- Zip
- 01970-3704
- Phone Number
- 978-219-2968
- Fax Number
- 978-209-3777
License Information
- Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Moonbeam Wellness LLC?
The NPI number of Moonbeam Wellness LLC is 1376208819. It was assigned on October 31, 2021 and is currently active in the NPPES registry.
What is the specialty of Moonbeam Wellness LLC?
Moonbeam Wellness LLC is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does Moonbeam Wellness LLC practice?
The practice location is 1 Derby Sq # 10, Salem, MA 01970-3704. The office can be reached at 978-219-2968 (phone) or 978-209-3777 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376208819 directly on the NPPES registry website.