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MOOD TREATMENT CENTER, PLLC
NPI 1285867952
Psychiatry & Neurology - Psychiatry in Winston Salem, NC

Active since August 28, 2009
1615 POLO RD, WINSTON SALEM, NC 27106(336) 722-7266(336) 201-0538 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2025, Apr 10, 2025, Jul 1, 2024 and 4 more (7 updates tracked since 2023).

About Mood Treatment Center, Pllc NPPES

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

MOOD TREATMENT CENTER, PLLC (NPI 1285867952) is a healthcare organization registered as a psychiatry in Winston Salem, North Carolina and active in the NPI registry since August 2009. The organization maintains 2 additional practice locations and lists David Andrew Sack, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1285867952
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameMOOD TREATMENT CENTER, PLLC
Location Address1615 POLO RDWinston Salem, NC 27106-3859
Mailing Address1615 Polo RdWinston Salem, NC 27106-3831 · (336) 722-7266 · Fax (336) 201-0538
Phone(336) 722-7266
Fax(336) 201-0538
Organization SubpartNo
Authorized OfficialDavid Andrew SackMedical Director · (562) 965-3193
Enumeration DateAugust 28, 2009
Last NPPES UpdateOctober 9, 20257 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1285867952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NC · 200100996
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1615 POLO RD, Winston Salem, NC 27106
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Secondary Practice Locations 2

Location 1104 Cambridge Plaza DrWinston Salem, NC 27104-3556 · Phone (336) 722-7266 · Fax (336) 201-0538
Location 21901 Adams Farm PkwyGreensboro, NC 27407-6338 · Phone (336) 722-7266 · Fax (336) 201-0538

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mood Treatment Center, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Mood Treatment Center, PLLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner8
Psychiatry3
Clinical Social Worker2

Clinicians, nearest first (13)

Mikaela Caldwell, PMHNP-BC
Nurse Practitioner
NPI 1043910185
1615 POLO RD
Winston Salem, NC 27106
(336) 722-7266
✔ PECOS✔ Accepts MedicareSame address
Dawn Coulthurst Mason, PMHNP
Nurse Practitioner
NPI 1740408780
1615 POLO RD
Winston Salem, NC 27106
(336) 722-7266
✔ PECOSSame address
Madeline Gillon, APRN
Nurse Practitioner
NPI 1427764398
1615 POLO RD
Winston Salem, NC 27106
(336) 722-7266
✔ PECOS✔ Accepts MedicareSame address
Theresa Moore, PMHNP-BC
Nurse Practitioner
NPI 1316561202
1615 POLO RD
Winston Salem, NC 27106
(336) 722-7266
✔ PECOS✔ Accepts MedicareSame address
Sophia Parrow, MSW, LCSW
Clinical Social Worker
NPI 1043373442
1615 POLO RD
Winston Salem, NC 27106
(336) 722-7266
✔ PECOS✔ Accepts MedicareSame address
Kadie York, PMHNP
Nurse Practitioner
NPI 1598396418
1615 POLO RD
Winston Salem, NC 27106
(336) 722-7266
✔ PECOS✔ Accepts MedicareSame address
Jennifer Connolly, LCSW
Clinical Social Worker
NPI 1073862017
725 N. HIGHLAND AVE 2ND FLOOR
Winston-salem, NC 27101
(336) 607-8501
✔ PECOS✔ Accepts Medicare4.2 mi
Joseph Harris, PMHNP-BC
Nurse Practitioner
NPI 1013571561
104 CAMBRIDGE PLAZA DR
Winston Salem, NC 27104
(336) 722-7266
✔ PECOS✔ Accepts Medicare4.5 mi
Erica Herman, M.D.
Psychiatry
NPI 1275827990
104 CAMBRIDGE PLAZA DR
Winston Salem, NC 27104
(336) 722-7266
✔ PECOS✔ Accepts Medicare4.5 mi
Lisa Bates, PMHNP
Nurse Practitioner
NPI 1235862251
1901 ADAMS FARM PKWY
Greensboro, NC 27407
(336) 722-7266
✔ PECOS✔ Accepts Medicare23 mi
April Nandigam, NP
Nurse Practitioner
NPI 1043733728
1901 ADAMS FARM PKWY
Greensboro, NC 27407
(336) 722-7266
✔ PECOS✔ Accepts Medicare23 mi
Fernando Grabner, MD
Psychiatry
NPI 1104321389
9250 W THOMAS RD STE 100
Phoenix, AZ 85037
(602) 610-1191
✔ PECOS1,818 mi
David Sack, M.D.
Psychiatry
NPI 1467657882
19456 WOODLANDS LN
Huntington Beach, CA 92648
(562) 965-3193
✔ PECOS2,136 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mood Treatment Center, PLLC's NPI number?

The NPI number for Mood Treatment Center, PLLC is 1285867952. It was assigned to this organization in the NPPES registry on August 28, 2009.

Where is Mood Treatment Center, PLLC located?

Mood Treatment Center, PLLC is located at 1615 Polo Rd, Winston Salem, NC 27106. The listed phone number is (336) 722-7266.

What is Mood Treatment Center, PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mood Treatment Center, PLLC enrolled in Medicare?

Yes. Mood Treatment Center, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mood Treatment Center, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Mood Treatment Center, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (8), Psychiatry (3) and Clinical Social Worker (2). Of these, 6 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mood Treatment Center, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Mood Treatment Center, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mood Treatment Center, PLLC was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.