Provider Demographics
NPI:1770200834
Name:MHOON-MOCK, WHITNEY (PHD)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:MHOON-MOCK
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 WEST AVE APT 11N
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-4333
Mailing Address - Country:US
Mailing Address - Phone:305-399-6021
Mailing Address - Fax:
Practice Address - Street 1:1250 WEST AVE APT 11N
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-4333
Practice Address - Country:US
Practice Address - Phone:305-399-6021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-20
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY11612103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist