MARC MOONEY PHD
NPI 1104960061
Psychologist - Clinical in Spring Lake Park, MN

Q: What is Marc Mooney's NPI number?

The NPI number for Marc Mooney is 1104960061. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Q: What is Marc Mooney's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Marc Mooney was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since February 16, 2007PECOS EnrolledAccepts Medicare Assignment

7766 HIGHWAY 65 NE, SPRING LAKE PARK, MN 55432(763) 205-4843(612) 416-2085 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2025, Mar 17, 2025, Jun 28, 2016 (3 updates tracked since 2016).

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About Marc Mooney Phd NPPES

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

MARC MOONEY PHD (NPI 1104960061) is an individual clinical provider in Spring Lake Park, Minnesota, licensed in Minnesota (LP4773) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1104960061

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMARC MOONEYCredential: PHD

Location Address7766 HIGHWAY 65 NESpring Lake Park, MN 55432-2832

Mailing Address7766 Highway 65 NeSpring Lake Park, MN 55432-2832 · (763) 205-4843 · Fax (612) 416-2085

Phone(763) 205-4843

Fax(612) 416-2085

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateFebruary 16, 2007

Last NPPES UpdateApril 9, 20253 updates tracked since enumeration

NPPES CertifiedApril 9, 2025

✔ NPI 1104960061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MN · LP4773

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License LP4773 (MN)

7766 HIGHWAY 65 NE, Spring Lake Park, MN 55432

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marc Mooney Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951481456

PECOS Enrollment IDI20080109000868

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55432 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

BRUCE H FIELD MD

Psychiatry & Neurology (Psychiatry)