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

Marc Mooney, PHD

Individual provider Psychologist · NPI 1104960061

Marc Mooney, PHD is a Clinical Psychologist in Spring Lake Park, Minnesota. Qualified in 2003, 23 years ago. Practices with Eagan Counseling Clinic, a 62-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
23
Licensed in
MN
In the registry since
2007
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

7766 Highway 65 NE
Spring Lake Park, MN 55432-2832
Phone: (763) 205-4843
Fax: (612) 416-2085
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP4773 (MN)
Psychologist Taxonomy 103T00000X · Licence LP4773 (MN)

Record details

NPI number1104960061
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedFebruary 16, 2007
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025
Mailing address7766 Highway 65 Ne, Spring Lake Park, MN 55432-2832

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Eagan Counseling Clinic — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Spring Lake Park