Moonphase Integrative Psychiatry & Wellness, PLLC
Nurse Practitioner, Psych/Mental Health in Mansfield, Massachusetts
1871427021- Practice location
- 20 Cabot Blvd Ste 300, Mansfield, MA 02048-1183
- Phone
- 508-690-0688
- Fax
- —
- Last updated
- June 11, 2026
Moonphase Integrative Psychiatry & Wellness, PLLC is a healthcare organization based in Mansfield, MA. Moonphase Integrative Psychiatry & Wellness, PLLC practices in Mansfield, MA. The NPI Number for Moonphase Integrative Psychiatry & Wellness, PLLC is 1871427021. The current practice location address for Moonphase Integrative Psychiatry & Wellness, PLLC is 20 Cabot Blvd Ste 300, Mansfield, MA 02048-1183 and can be reached out via phone at 508-690-0688.
Provider Profile Details
- NPI Number
- 1871427021
- Provider Name
- Moonphase Integrative Psychiatry & Wellness, PLLC
- Provider Entity Type
- Organization
- Address
- 20 Cabot Blvd Ste 300, Mansfield, MA 02048-1183
- Phone Number
- 508-690-0688
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Michele Whitaker, MSN, APRN, PMHNP-BC · Owner, Managing Mbr · 508-566-4032
- Other Names
- Moonphase Wellness (Doing Business As)
- Provider Enumeration Date
- June 11, 2026
- Last Update Date
- June 11, 2026
- Certification Date
- June 11, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Cabot Blvd Ste 300
Mansfield, MA 02048-1183 - City
- Mansfield
- State
- Massachusetts
- Zip
- 02048-1183
- Phone Number
- 508-690-0688
Provider Business Mailing Address Details
- Address
- 235 Manchaug RD
Sutton, MA 01590-1647 - City
- Sutton
- State
- MA
- Zip
- 01590-1647
- Phone Number
- 339-215-8115
License Information
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Moonphase Integrative Psychiatry & Wellness, PLLC?
The NPI number of Moonphase Integrative Psychiatry & Wellness, PLLC is 1871427021. It was assigned on June 11, 2026 and is currently active in the NPPES registry.
What is the specialty of Moonphase Integrative Psychiatry & Wellness, PLLC?
Moonphase Integrative Psychiatry & Wellness, PLLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).
Where does Moonphase Integrative Psychiatry & Wellness, PLLC practice?
The practice location is 20 Cabot Blvd Ste 300, Mansfield, MA 02048-1183. The office can be reached at 508-690-0688 (phone).
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 1871427021 directly on the NPPES registry website.