Individual provider Active NPI

Farah Andre Moyer, PSYD

  • Psychologist
  • Allentown, PA
National Provider Identifier
1053549790
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS016643 Issued in PA
Practice address
2132 S 12TH St Ste 402
Allentown, PA 18103-4810
Phone
(484) 602-5775
Fax
(484) 350-3811
NPI assigned
Jul 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS016643 PA Primary

Addresses

Primary practice location

2132 S 12TH St Ste 402
Allentown, PA 18103-4810

Mailing address

830 Hickory St
Macungie, PA 18062-1613
Phone (215) 850-3222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100719000253 PA Practitioner - Clinical Psychologist 9638201270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Handl Psychological Services, LLCGroup PAC ID 4587936570, 5 clinicians

Practice addresses (Care Compare)

2132 S 12TH St
Suite 402
Allentown, PA 18103-4810
Phone (484) 619-3079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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.

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1053549790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 HICKORY ST",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180621613",
            "telephone_number": "215-850-3222",
            "fax_number": "484-350-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 S 12TH ST STE 402",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181034810",
            "telephone_number": "484-602-5775",
            "fax_number": "484-350-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "FARAH",
        "middle_name": "ANDRE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.