Organization Active NPI

Markee & Moore Psychologists, Inc

  • Clinical Neuropsychologist
  • Vancouver, WA
National Provider Identifier
1033325501
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
2014 Issued in WA
Legal business name
MARKEE & MOORE PSYCHOLOGISTS, INC
Practice address
2009 F Street
Vancouver, WA 98663
Phone
(360) 693-3715
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lawrence Harold Moore, PH.D.NPI 1215143821
Title
Vice-President
Phone
(360) 693-3715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 2014 WA Primary

Addresses

Primary practice location

2009 F Street
Vancouver, WA 98663

Mailing address

2009 F Street
Vancouver, WA 98663
Phone (360) 693-3715

Other identifiers 1

IdentifierTypeStateIssuer
7078918MedicaidWA

Other names 1

  • Lawrence H. Moore Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040316000127 WA Part B Supplier - Clinic/Group Practice 2365332384 Receives reassigned benefits from 3 practitioners
Practice locations: Vancouver, WA

National Provider Directory

National Provider Directory

Locations

2009 F St
Vancouver, WA 98663
Phone (360) 693-3715

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1033325501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 F STREET",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98663",
            "telephone_number": "360-693-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 F STREET",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98663",
            "telephone_number": "360-693-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKEE & MOORE PSYCHOLOGISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "360-693-3715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "WA",
            "license": "2014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7078918",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrence H. Moore",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.