Blue Moon Behavioral Health, PLLC
NPI 1023841061 · Psychiatric/Mental Health Nurse Practitioner · Rockville, MD
Blue Moon Behavioral Health, PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in Rockville, MD (NPI 1023841061).
Provider details
- NPI number
- 1023841061
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Shineka Mack, Owner(704) 258-6720
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-08-23
- Last updated
- 2024-08-23
- Certified
- 2024-08-23
Frequently asked questions
- What is Blue Moon Behavioral Health, PLLC's NPI number?
- Blue Moon Behavioral Health, PLLC's National Provider Identifier (NPI) is 1023841061, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Moon Behavioral Health, PLLC?
- Blue Moon Behavioral Health, PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Blue Moon Behavioral Health, PLLC located?
- Blue Moon Behavioral Health, PLLC's practice location on file with NPPES is 199 E Montgomery Ave Ste 100, Rockville, MD 20850-2361.
- What is Blue Moon Behavioral Health, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Blue Moon Behavioral Health, PLLC is (301) 719-2913.
- Who is the authorized official for Blue Moon Behavioral Health, PLLC?
- The authorized official listed on Blue Moon Behavioral Health, PLLC's NPPES record is Shineka Mack, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Moon Behavioral Health, PLLC's NPI active?
- Yes — Blue Moon Behavioral Health, PLLC's NPI (1023841061) is active in the NPPES registry as of the last update on 2024-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.