Individual
DR. JAMES PATRICK MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
325 13TH ST NE STE 502, SALEM, OR 97301-2203
(503) 581-2351
(503) 581-0125
Mailing address
325 13TH ST NE STE 502, SALEM, OR 97301-2203
(503) 581-2351
(503) 581-0125
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
OR1088
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0203219
DEPARTMENT OF LABOR & IND
OR
01
—
0203219
DEPARTMENT OF LABOR & IND
WA
01
—
204144521
FEDERAL TAX ID
OR
01
—
840547000
REGENCE BLUE CROSS
OR
01
—
R0000TCPDJ
MEDICARE ID-PIN
OR
Enumeration date
12/28/2006
Last updated
08/11/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us