MS. HEATHER W MOON (NPI# 1689879876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689879876 |
| Entity Type | Individual |
| Full Name | MS. HEATHER W MOON |
| Credential | M.A. |
| Practice Address |
63 College Ave Somerville MA 02144-1957 |
| Mailing Address |
31 Tremont St #3 Cambridge MA 02139-1244 |
| Practice Telephone | 6176296628 |
| Mailing Telephone | 6176296628 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| X | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417220153 | Heather Michelle Moon | Licensed Practical Nurse | 5091 Todd Rd, Franklin, OH 45005-5076 | 2012-02-10 |
| 1821261199 | Heather Kathleen Moon | Social Worker | 2300 N 26th St, Boise, ID 83702-0231 | 2008-04-08 |
| 1376921999 | Heather Moon | Nurse Practitioner | 2449 Old Fort Pkwy, Murfreesboro, TN 37128-4162 | 2015-05-14 |
| 1942403225 | Heather Moon | Physical Therapist | 7233 Whipple Ave Nw, North Canton, OH 44720-7137 | 2007-06-06 |
| Street Address |
63 COLLEGE AVE |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02144-1957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992860571 | Edilia F. Gomes | Social Worker | 63 College Ave, Somerville, MA 02144 | 2006-12-26 |
| 1346587482 | Daniel Lee Henderson | Counselor | 63 College Ave, Somerville, MA 02144-1957 | 2013-01-09 |
| 1356685309 | Tracy Moreland | Case Manager/Care Coordinator | 63 College Ave, Somerville, MA 02144-1957 | 2012-11-15 |
| 1538403712 | Emily Feigenberg | Case Manager/Care Coordinator | 63 College Ave, Somerville, MA 02144-1957 | 2012-11-12 |
| 1114291200 | Angela Karras | Counselor | 63 College Ave, Somerville, MA 02144-1957 | 2012-03-07 |
| 1295018950 | Amanda Elizabeth White-lief | Social Worker | 63 College Ave, Somerville, MA 02144-1957 | 2011-09-20 |
| 1316232994 | Isaiah Bartlett | Social Worker | 63 College Ave, Somerville, MA 02144-1957 | 2011-06-13 |
| 1265767016 | Ranjeev Benjamin | Counselor | 63 College Ave, Somerville, MA 02143 | 2009-10-13 |
| 1699984781 | Mary Lou Pierron | Psychologist | 63 College Ave, Somerville, MA 02144-1957 | 2007-05-22 |
| 1467678318 | Dana Jill Gordon | Counselor | 63 College Ave, Somerville, MA 02144-1957 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386106953 | Star Markets Company Inc | Durable Medical Equipment & Medical Supplies | 90 Causeway St, Boston, MA 02144 | 2019-04-03 |
| 1841769460 | Jeffrey Shwom | Technician/Technologist | 40 Holland Street, 1st Floor, Somerville, MA 02144 | 2018-11-14 |
| 1689106700 | Michelle Dyrholm | Anesthesiology | Massachusetts General Hospital, Dept of Anesthesia, 55 Fruit Street, Gray-bigelow 444, Boston, MA 02144 | 2017-03-29 |
| 1275089575 | Nancy Landry Pllc | Family Medicine | Somerville Family Practice, 1020 Broadway, Somerville, MA 02144 | 2016-08-28 |
| 1982019451 | Wilson Garcia Acosta | Specialist | 278 Powderhouse, Somerville, MA 02144 | 2014-06-24 |
| 1376954289 | Jonathan Farr | Counselor | 1236 Broadway Ste 12, Somerville, MA 02144 | 2014-05-13 |
| 1356751945 | Christina Sakelarakis | Psychologist | 73 Fairfax St, Somerville, MA 02144 | 2014-05-05 |
| 1578905816 | Nicolle Woods | Behavioral Analyst | 58 Day St #441938, Somerville, MA 02144 | 2013-07-29 |
| 1306130018 | Emily Elizabeth Wheeler | Psychologist | 259 Elm St Ste 201, Somerville, MA 02144 | 2011-05-31 |
| 1932363355 | Hang Le Ngo | Psychologist | 53 Chester Street, Somerville, MA 02144 | 2008-07-15 |
| Find all providers in zip 02144 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780018598 | Kyrre Dikken Culver | Counselor | 58 Liberty Ave # 1, Somerville, MA 02144-2022 | 2013-08-28 |
| 1972949675 | Meaghan E Decker | Counselor | 259 Elm St Ste 300b, Somerville, MA 02144-2950 | 2013-05-21 |
| 1083963276 | Mallory Sarno | Counselor | 15 Tennyson St, Somerville, MA 02145-3701 | 2012-09-03 |
| 1023302676 | Matthew S. Mullins | Counselor | 20 Barton St, Somerville, MA 02144-1508 | 2011-05-31 |
| 1891932885 | Jennifer White | Counselor | 391 Broadway Apt 303, Somerville, MA 02145-2310 | 2009-01-13 |
| 1801949862 | Brenda Pateman | Counselor | 17 W Cliff St, Somerville, NJ 08876-1901 | 2007-01-20 |
| 1891848917 | Michael Philip Chenkin | Counselor | 87 West End Ave., Somerville, NJ 08876-1828 | 2007-01-19 |
| 1205997228 | Marilyn Baron | Counselor | 73 West End Ave, Somerville, NJ 08876-1828 | 2006-12-13 |
| 1639259146 | Patrick S Griswold | Counselor | 260 Beacon St, Somerville, MA 02143-3534 | 2006-10-17 |
| 1033759006 | Elaine Travers Blake | Counselor | 16 Highland Ave, Somerville, MA 02143-1933 | 2020-01-08 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02144 |
Please comment or provide details below to improve the information on MS. HEATHER W MOON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.