MOONSTONE THERAPY A PROFESSIONAL CORPORATION NPI 1063343663

NPI Information

  • NPI: 1063343663
  • Provider Name: MOONSTONE THERAPY A PROFESSIONAL CORPORATION
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 4221 NORTHGATE BLVD STE 4
    SACRAMENTO, CA
    ZIP 95834
  • Phone: (559) 579-0040

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NPI Details

MOONSTONE THERAPY A PROFESSIONAL CORPORATION is a mental health (including community mental health center) clinic center in Sacramento, CA. MOONSTONE THERAPY A PROFESSIONAL CORPORATION NPI is 1063343663. The provider is registered as an organization entity type.

The provider's business location address is:

4221 NORTHGATE BLVD STE 4
SACRAMENTO, CA
ZIP 95834-227
Phone: (559) 579-0040

The provider's authorized official is Ginger Moyer .
The authorized official title is Clinical Director And Owner and has the following contact phone number (559) 579-0040.

The enumeration date for this NPI number is 5/25/2026 and was last updated on 5/28/2026.

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
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 11/21/2025

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