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NPI · 1104960061 · NPPES-sourced

Marc Mooney PHD

ActiveClinical Psychologist
NPI Number
1104960061
Type 1 · Individual
Taxonomy Code
103TC0700X
Contact
(763) 205-4843
License MN · LP4773
Last Updated
About 14 months ago (Apr 2025)
Enumerated 2007-02-16
Primary practice addressMN · 55432-2832
7766 Highway 65 NeSpring Lake Park, MN 55432-2832
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About this NPIWhat this record shows.

NPI 1104960061 is registered to Marc Mooney PHD, a Clinical Psychologist practising at 7766 Highway 65 Ne in Spring Lake Park, Minnesota. Clinical Psychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Marc Mooney PHD has been enumerated in the National Provider Identifier (NPI) registry since 2007.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2007-02-16
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Marc Mooney PHD accepts. To confirm in-network status with your specific health plan, contact Marc Mooney PHD directly at (763) 205-4843.

Frequently asked

Yes. NPI 1104960061 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Psychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (763) 205-4843.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Marc Mooney PHD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy103TC0700X
Last updated2025-04
Enumerated2007-02-16
StatusActive
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10 records · same addressOther providers at this location.

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Same specialtyOther Clinical Psychologist providers in Minnesota.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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