IndividualActive
Cicely Moreno, M.D.
NPI 1285171827 · Addiction Medicine (Family Medicine) Physician · Niles, MI
Provider details
- NPI number
- 1285171827
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 4301509637 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4 Longmeadow Village Dr
Niles, MI 49120-7809
Phone: (269) 684-6000
Approximate (ZIP-level) locationGet directions
Mailing address
4 Longmeadow Village Dr
Niles, MI 49120-7809
Additional practice locations (5)
- 5043 E 81st AveMerrillville, IN 46410-5912Phone: (219) 707-5276
- 133 W Main StBenton Harbor, MI 49022-3607Phone: (269) 408-2258
- 6418 Deans Hill RdBerrien Center, MI 49102-8713Phone: (269) 815-5500Fax: (269) 815-5373
- 42 N Saint Joseph Ave Ste 300Niles, MI 49120-2203Phone: (269) 687-1126Fax: (269) 687-1127
- 1234 Napier AveSaint Joseph, MI 49085-2112Phone: (269) 982-4941
Registry dates
- Enumerated
- 2017-01-20
- Last updated
- 2026-01-16
- Certified
- 2026-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.