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CRESCENT MOON PSYCHIATRY LLC
NPI 1063392934
Nurse Practitioner - Psychiatric/Mental Health in Fort Collins, CO

Active since September 03, 2025
1302 S SHIELDS ST STE A1-2, FORT COLLINS, CO 80521(970) 427-2820(970) 585-8169 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crescent Moon Psychiatry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRESCENT MOON PSYCHIATRY LLC (NPI 1063392934) is a healthcare organization registered as a psychiatric/mental health in Fort Collins, Colorado and active in the NPI registry since September 2025. The organization lists Michelle Miranda, Owner, as its authorized official.

NPPES Registry Identity

NPI1063392934
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCRESCENT MOON PSYCHIATRY LLC
Location Address1302 S SHIELDS ST STE A1-2Fort Collins, CO 80521-4801
Mailing Address1302 S Shields St Ste A1-2Fort Collins, CO 80521-4801 · (970) 427-2820 · Fax (970) 585-8169
Phone(970) 427-2820
Fax(970) 585-8169
Organization SubpartNo
Authorized OfficialMichelle MirandaOwner · (970) 427-2820
Enumeration DateSeptember 3, 2025
NPPES CertifiedSeptember 3, 2025
✔ NPI 1063392934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1302 S SHIELDS ST STE A1-2, Fort Collins, CO 80521
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOANN DOOLEY D.C.
Chiropractor
1302 S SHIELDS ST STE A1-2
FORT COLLINS, CO 80521
Larimer County (970) 689-3230
JENNY DARLENE TARR PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1302 S SHIELDS ST STE A1-2
FORT COLLINS, CO 80521
Larimer County (970) 316-7797

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crescent Moon Psychiatry LLC's NPI number?

The NPI number for Crescent Moon Psychiatry LLC is 1063392934. It was assigned to this organization in the NPPES registry on September 3, 2025.

Where is Crescent Moon Psychiatry LLC located?

Crescent Moon Psychiatry LLC is located at 1302 S Shields St Ste A1-2, Fort Collins, CO 80521. The listed phone number is (970) 427-2820.

What is Crescent Moon Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Crescent Moon Psychiatry LLC was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.