OrganizationActive
Moonrise Therapy PLLC
NPI 1649044058 · Psychologist · Evanston, IL
Moonrise Therapy PLLC is a Psychologist organization in Evanston, IL (NPI 1649044058).
Provider details
- NPI number
- 1649044058
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Darren Diamond, Manager(518) 708-5405
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs 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
708 Church St Ste 251
Evanston, IL 60201-3840
Phone: (773) 517-8105
Street-level locationGet directions
Mailing address
708 Church St Ste 251
Evanston, IL 60201-3840
Registry dates
- Enumerated
- 2023-11-07
- Last updated
- 2023-11-07
- Certified
- 2023-11-07
Frequently asked questions
- What is Moonrise Therapy PLLC's NPI number?
- Moonrise Therapy PLLC's National Provider Identifier (NPI) is 1649044058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moonrise Therapy PLLC?
- Moonrise Therapy PLLC is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Moonrise Therapy PLLC located?
- Moonrise Therapy PLLC's practice location on file with NPPES is 708 Church St Ste 251, Evanston, IL 60201-3840.
- What is Moonrise Therapy PLLC's phone number?
- The practice phone number listed in the NPPES registry for Moonrise Therapy PLLC is (773) 517-8105.
- Who is the authorized official for Moonrise Therapy PLLC?
- The authorized official listed on Moonrise Therapy PLLC's NPPES record is Darren Diamond, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moonrise Therapy PLLC's NPI active?
- Yes — Moonrise Therapy PLLC's NPI (1649044058) is active in the NPPES registry as of the last update on 2023-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.