JONATHAN WILLIAM MOONEY PMHNP-BC NPI 1427603935

NPI Information

NPI: 1427603935
Provider Name: JONATHAN WILLIAM MOONEY, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
228 NE JEFFERSON AVE
PEORIA, IL
ZIP 61603
Phone: (309) 671-8000
Get Directions

Jonathan William Mooney, PMHNP-BC is a psychiatric/mental health nurse practitioner in Peoria, IL with 5 years of experience. Jonathan William Mooney, PMHNP-BC NPI is 1427603935. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

228 NE JEFFERSON AVE
PEORIA, IL
ZIP 61603-802
Phone: (309) 671-8000
Fax: (309) 671-4695

The NPI 1427603935 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 enumeration date for this NPI number is 8/2/2019 and was last updated on 8/21/2019.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	209	ILLINOIS	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: 4/28/2024

NPI Synchronization or Removal

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