MOON FAMILY & BEHAVIORAL HEALTH LLC
NPI 1902512122
Family Medicine in Pickerington, OH

Q: What is Moon Family & Behavioral Health LLC's NPI number?

The NPI number for Moon Family & Behavioral Health LLC is 1902512122. It was assigned to this organization in the NPPES registry on January 31, 2023.

Q: What is Moon Family & Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 31, 2023CLIA 36D2273720 · Waiver

161 CLINT DR STE 200, PICKERINGTON, OH 43147(614) 705-6161(614) 705-6151 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Moon Family & Behavioral Health Llc NPPES

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

MOON FAMILY & BEHAVIORAL HEALTH LLC (NPI 1902512122) is a healthcare organization registered as a family medicine in Pickerington, Ohio and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through December 18, 2026 and lists Brian Dean, Admin, as its authorized official.

NPPES Registry Identity

NPI1902512122

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMOON FAMILY & BEHAVIORAL HEALTH LLC

Location Address161 CLINT DR STE 200Pickerington, OH 43147-7794

Mailing Address161 Clint Dr Ste 200Pickerington, OH 43147-7794 · (614) 705-6161 · Fax (614) 705-6151

Phone(614) 705-6161

Fax(614) 705-6151

Organization SubpartNo

Authorized OfficialBrian DeanAdmin · (614) 706-5206

Enumeration DateJanuary 31, 2023

NPPES CertifiedJanuary 31, 2023

✔ NPI 1902512122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X

161 CLINT DR STE 200, Pickerington, OH 43147

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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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2273720

Moon Family & Behavioral Health LLC · Pickerington, OH

Active · expires Dec 18, 2026

CLIA Number36D2273720

Laboratory TypePhysician Office

Certificate Effective DateDecember 19, 2024

Certificate Expiration DateDecember 18, 2026

Laboratory DirectorMamadou S. Diallo

Laboratory Phone(614) 354-1295

Laboratory LocationMoon Family & Behavioral Health LLC161 Clint Drive, Suite 200, Pickerington, OH 43147

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MAMADOU SALIOU DIALLO DNP, FNP-BC,PMHNP-BC

Nurse Practitioner (Family)

161 CLINT DR STE 200
PICKERINGTON, OH 43147

Fairfield County (614) 705-6161

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 Moon Family & Behavioral Health LLC's NPI number?

The NPI number for Moon Family & Behavioral Health LLC is 1902512122. It was assigned to this organization in the NPPES registry on January 31, 2023.

Where is Moon Family & Behavioral Health LLC located?

Moon Family & Behavioral Health LLC is located at 161 Clint Dr Ste 200, Pickerington, OH 43147. The listed phone number is (614) 705-6161.

What is Moon Family & Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Moon Family & Behavioral Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2273720) is associated with this NPI, valid through December 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Moon Family & Behavioral Health LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Molina Healthcare list Moon Family & Behavioral Health LLC 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 Moon Family & Behavioral Health LLC was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.