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NICHOLAS SCOTT MOON
NPI 1407138811
Clinic/Center - Mental Health (Including Community Mental Health Center) in Paducah, KY

Active since September 12, 2011
425 BROADWAY ST, PADUCAH, KY 42001(270) 442-7121 Get Directions Write a Review

NPPES record last updated: September 12, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicholas Scott Moon NPPES

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

NICHOLAS SCOTT MOON (NPI 1407138811) is an individual mental health (including community mental health center) provider in Paducah, Kentucky and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1407138811
Entity TypeIndividualMale
Primary Taxonomy261QM0801X
Provider Legal NameNICHOLAS SCOTT MOON
Location Address425 BROADWAY STPaducah, KY 42001-0713
Mailing Address425 Broadway StPaducah, KY 42001-0713
Phone(270) 442-7121
Sole ProprietorYes
Enumeration DateSeptember 12, 2011
✔ NPI 1407138811 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
425 BROADWAY ST, Paducah, KY 42001
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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.

SALENA M GRAHAM
Clinic/Center (Mental Health (Including Community Mental Health Center))
425 BROADWAY ST
PADUCAH, KY 42001
McCracken County (270) 442-7121
NATASHA TYLER BS/PSY
Social Worker
425 BROADWAY ST, SUITE 203
PADUCAH, KY 42001
McCracken County (270) 442-5088
TIFFANY CHAPMAN
Social Worker
425 BROADWAY ST
PADUCAH, KY 42001
McCracken County (270) 442-7121
KEVIN ROBERTSON
Counselor (Mental Health)
425 BROADWAY ST
PADUCAH, KY 42001
McCracken County (270) 442-7121
DR. DUNCAN EDWARD DARNELL MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
425 BROADWAY ST
PADUCAH, KY 42001
McCracken County (270) 442-1801
DANA DENISE SHELLY-LIPHAM
Clinic/Center (Mental Health (Including Community Mental Health Center))
425 BROADWAY ST
PADUCAH, KY 42001
McCracken County (270) 442-7121
IVAN ALVARADO
Social Worker
425 BROADWAY ST
PADUCAH, KY 42001
McCracken County (270) 442-7121
BARBARA JOHNSON
Peer Specialist
425 BROADWAY ST
PADUCAH, KY 42001
McCracken County (270) 442-7121

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 Nicholas Moon's NPI number?

The NPI number for Nicholas Moon is 1407138811. It was assigned to this individual provider in the NPPES registry on September 12, 2011.

Where is Nicholas Moon located?

Nicholas Moon practices at 425 Broadway St, Paducah, KY 42001. The listed phone number is (270) 442-7121.

What is Nicholas Moon'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 Nicholas Moon was last updated on September 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.