SYDNEY SUMI MOON M.D. NPI 1114954583

NPI Information

  • NPI: 1114954583
  • Provider Name: SYDNEY SUMI MOON, M.D.
  • Classification: Psychiatry & Neurology - 2084P0015X
  • Specialization: Psychosomatic Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 593 EDDY ST
    LIFESPAN PHYSCIAN GROUP
    PROVIDENCE, RI
    ZIP 02903
  • Phone: (401) 444-2128

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NPI Details

Sydney Sumi Moon, M.D. is a psychosomatic medicine psychiatry neurology in Providence, RI with 30 years of experience. The provider is psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings. Sydney Sumi Moon, M.D. NPI is 1114954583. 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:

593 EDDY ST
LIFESPAN PHYSCIAN GROUP
PROVIDENCE, RI
ZIP 02903-923
Phone: (401) 444-2128
Fax: (401) 444-8836

The NPI 1114954583 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)

The enumeration date for this NPI number is 6/28/2006 and was last updated on 3/31/2017.

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
12084P0015XPsychiatry & NeurologyPsychosomatic Medicine14228RHODE ISLANDYes

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
1A40186MEDICARE PINMASSACHUSETTS
2110073955AMEDICAIDMASSACHUSETTS

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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