DEBRA RUSSELL MOONEY C-FNP NPI 1023094729

NPI Information

  • NPI: 1023094729
  • Provider Name: DEBRA RUSSELL MOONEY, C-FNP
  • Classification: Psychiatry & Neurology - 2084P0802X
  • Specialization: Addiction Psychiatry
  • Entity Type: Individual
  • Address: 103 PENNSYLVANIA AVE
    CHARLESTON, WV
    ZIP 25302
  • Phone: (304) 756-5715

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NPI Details

Debra Russell Mooney, C-FNP is an addiction psychiatry psychiatry neurology in Charleston, WV. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. Debra Russell Mooney, C-FNP NPI is 1023094729. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

103 PENNSYLVANIA AVE
CHARLESTON, WV
ZIP 25302-314
Phone: (304) 756-5715

The enumeration date for this NPI number is 12/15/2005 and was last updated on 3/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0802XPsychiatry & NeurologyAddiction Psychiatry26602WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10116688000MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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