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MOONBEAM WELLNESS LLC
NPI 1376208819
Clinic/Center - Mental Health (Including Community Mental Health Center) in Salem, MA

Active since October 31, 2021
1 DERBY SQ # 10, SALEM, MA 01970(978) 219-2968(978) 209-3777 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 2, 2024, Oct 18, 2022 (2 updates tracked since 2022).

About Moonbeam Wellness Llc NPPES

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

MOONBEAM WELLNESS LLC (NPI 1376208819) is a healthcare organization registered as a mental health (including community mental health center) in Salem, Massachusetts and active in the NPI registry since October 2021. The organization lists Martyna Rusinowicz, Owner, as its authorized official.

NPPES Registry Identity

NPI1376208819
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMOONBEAM WELLNESS LLC
Location Address1 DERBY SQ # 10Salem, MA 01970-3704
Mailing Address1 Derby Sq # 10Salem, MA 01970-3704 · (978) 219-2968 · Fax (978) 209-3777
Phone(978) 219-2968
Fax(978) 209-3777
Organization SubpartNo
Authorized OfficialMartyna RusinowiczOwner · (978) 219-2968
Enumeration DateOctober 31, 2021
Last NPPES UpdateOctober 2, 20242 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
✔ NPI 1376208819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1 DERBY SQ # 10, Salem, MA 01970
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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 Moonbeam Wellness LLC's NPI number?

The NPI number for Moonbeam Wellness LLC is 1376208819. It was assigned to this organization in the NPPES registry on October 31, 2021.

Where is Moonbeam Wellness LLC located?

Moonbeam Wellness LLC is located at 1 Derby Sq # 10, Salem, MA 01970. The listed phone number is (978) 219-2968.

What is Moonbeam Wellness 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 Moonbeam Wellness LLC was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.