OrganizationActive
Moonlight Psychotherapy and Psychological Services, LLC
NPI 1972075661 · Clinical Psychologist · La Crosse, WI
Provider details
- NPI number
- 1972075661
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Frederick Green, Owner / Psychologist(207) 317-0557
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
205 5th Ave S Ste 428
La Crosse, WI 54601-4059
Phone: (207) 317-0557
Street-level locationGet directions
Mailing address
1718 Sunset Dr
La Crosse, WI 54601-7030
Registry dates
- Enumerated
- 2018-12-19
- Last updated
- 2018-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.