Moon Wellness Group, PLLC
NPI 1811563604 · Clinical Psychologist · Ann Arbor, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Moon Wellness Group, PLLC is a Clinical Psychologist organization in Ann Arbor, MI (NPI 1811563604).
Provider details
- NPI number
- 1811563604
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Miea Moon, PHD(734) 681-0830
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Registry dates
- Enumerated
- 2021-06-02
- Last updated
- 2026-04-27
- Certified
- 2026-04-27
Frequently asked questions
- What is Moon Wellness Group, PLLC's NPI number?
- Moon Wellness Group, PLLC's National Provider Identifier (NPI) is 1811563604, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moon Wellness Group, PLLC?
- Moon Wellness Group, PLLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Moon Wellness Group, PLLC located?
- Moon Wellness Group, PLLC's practice location on file with NPPES is 2395 Oak Valley Dr Ste 100, Ann Arbor, MI 48103-9118.
- What is Moon Wellness Group, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Moon Wellness Group, PLLC is (734) 681-0830.
- Does Moon Wellness Group, PLLC accept Medicare?
- Moon Wellness Group, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Moon Wellness Group, PLLC?
- The authorized official listed on Moon Wellness Group, PLLC's NPPES record is Miea Moon, PHD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moon Wellness Group, PLLC's NPI active?
- Yes — Moon Wellness Group, PLLC's NPI (1811563604) is active in the NPPES registry as of the last update on 2026-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.