Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Moonphase Integrative Psychiatry & Wellness, PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1871427021

Moonphase Integrative Psychiatry & Wellness, PLLC is a Psychiatric/Mental Health Nurse Practitioner in Mansfield, Massachusetts. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20 Cabot Blvd Ste 300
Mansfield, MA 02048-1183
Phone: (508) 690-0688
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1871427021
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Whitaker — Owner, Managing Mbr · (508) 566-4032
Other names Moonphase Wellness
NPI enumeratedJune 11, 2026
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026
Mailing address235 Manchaug Rd, Sutton, MA 01590-1647

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