Active NPI
Leyonita Moore, PH.D.
- Psychologist
- Madison, WI
National Provider Identifier
1093222010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3920
- Practice address
- 333 E Campus Mall 7TH FLR
Madison, WI 53715 - Phone
- (608) 265-5600
- NPI assigned
- Dec 29, 2017
- Reactivated
- Dec 7, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3920 | WI | Primary |
| Counseling Psychologist | 103TC1900X | 3920 | WI |
Addresses
Primary practice location
333 E Campus Mall 7TH FLR
Madison, WI 53715
Mailing address
333 E Campus Mall
Madison, WI 53715-1365
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3920 | Other | WI | LICENSE |
| 56974 | Other | NATIONAL REGISTER OF HEALTH SERVICE PSYCHOLOGISTS | |
| 021049 | Other | NY | LICENSE |
Other names 1
- Dr. Leya Moore
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021049-1 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781913600000",
"number": "1093222010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 E CAMPUS MALL",
"city": "MADISON",
"state": "WI",
"postal_code": "537151365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 E CAMPUS MALL 7TH FLR",
"city": "MADISON",
"state": "WI",
"postal_code": "53715",
"telephone_number": "608-265-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "LEYONITA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-29",
"last_updated": "2026-06-20",
"certification_date": "2026-06-20",
"deactivation_date": "2020-11-11",
"reactivation_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "3920",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "WI",
"license": "3920",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "3920",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL REGISTER OF HEALTH SERVICE PSYCHOLOGISTS",
"identifier": "56974",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "021049",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEYA",
"last_name": "MOORE",
"prefix": "DR.",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.