Active NPI
Sue V Moore, MS, LPC
- Psychologist
- Augusta, GA
National Provider Identifier
1053429837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LPC 1326
- Practice address
- 448 Telfair St
Augusta, GA 30901-5811 - Phone
- (706) 722-7788
- Fax
- (706) 724-8300
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LPC 1326 | GA | Primary |
Addresses
Primary practice location
448 Telfair St
Augusta, GA 30901-5811
Mailing address
448 Telfair St
Augusta, GA 30901-5811
Phone (706) 722-7788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC 1326 | GA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maguire & Moore Psyclological Services | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Augusta, GA
- NPI 1538279641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053429837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "448 TELFAIR ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309015811",
"telephone_number": "706-722-7788",
"fax_number": "706-724-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "448 TELFAIR ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309015811",
"telephone_number": "706-722-7788",
"fax_number": "706-724-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "SUE",
"middle_name": "V",
"credential": "MS, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "LPC 1326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.