Moira A Hubbard, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

63001008483 Issued in MI

Practice address

2395 Oak Valley Dr
Suite 100
Ann Arbor, MI 48103-8943

Phone

(734) 995-5181

Fax

(734) 995-9011

NPI assigned

Jun 10, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1093719544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2395 OAK VALLEY DR",
            "address_2": "SUITE 100",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038943",
            "telephone_number": "734-995-5181",
            "fax_number": "734-995-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 OAK VALLEY DR",
            "address_2": "SUITE 100",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038943",
            "telephone_number": "734-995-5181",
            "fax_number": "734-995-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "MOIRA",
        "middle_name": "A",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-10",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "63001008483",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 22353",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5735074",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley Loren Hubbard, MD
• Cherrai Hubbard
• Jazzmine Hubbard
• Karen T Hubbard, CRNA
• Leigh Christine Hubbard, PA-C
• Seth Hubbard, DC
• Larry Layton Huber, CRNA
• David Hubers, R.PH.
• Nicole Mnara Huby, PSYD
• Kimberly Huck, DPT

• Clinical Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.