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MOA PSYCHIATRIC PRACTICE LLC
NPI 1295507127
Clinic/Center - Mental Health (Including Community Mental Health Center) in North East, MD

Active since October 24, 2023
28 FLINT DR, NORTH EAST, MD 21901(240) 997-0287 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Moa Psychiatric Practice Llc NPPES

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

MOA PSYCHIATRIC PRACTICE LLC (NPI 1295507127) is a healthcare organization registered as a mental health (including community mental health center) in North East, Maryland and active in the NPI registry since October 2023. The organization lists Olumide Mesioye, President, as its authorized official.

NPPES Registry Identity

NPI1295507127
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMOA PSYCHIATRIC PRACTICE LLC
Location Address28 FLINT DRNorth East, MD 21901-3746
Mailing Address28 Flint DrNorth East, MD 21901-3746 · (240) 997-0287
Phone(240) 997-0287
Organization SubpartNo
Authorized OfficialOlumide MesioyePresident · (240) 997-0287
Enumeration DateOctober 24, 2023
NPPES CertifiedOctober 24, 2023
✔ NPI 1295507127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
28 FLINT DR, North East, MD 21901
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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 4

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

JOHN H. REYNOLDS, O.D., P.A.
Optometrist
28 FLINT DR
NORTH EAST, MD 21901
Cecil County (410) 287-2800
DIVINE INTERNAL MEDICINE LLC
Internal Medicine
28 FLINT DR
NORTH EAST, MD 21901
Cecil County (443) 877-6194
FOX'S HOLISTIC CARE
Nurse Practitioner (Family)
28 FLINT DR
NORTH EAST, MD 21901
Cecil County (302) 797-1462
DR. JOHN HALL REYNOLDS O.D.
Optometrist
28 FLINT DR
NORTH EAST, MD 21901
Cecil County (410) 287-2800

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 Moa Psychiatric Practice LLC's NPI number?

The NPI number for Moa Psychiatric Practice LLC is 1295507127. It was assigned to this organization in the NPPES registry on October 24, 2023.

Where is Moa Psychiatric Practice LLC located?

Moa Psychiatric Practice LLC is located at 28 Flint Dr, North East, MD 21901. The listed phone number is (240) 997-0287.

What is Moa Psychiatric Practice LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Moa Psychiatric Practice LLC was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.