David C. Moyer, PHD., P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0000858 Issued in CT

Legal business name

DAVID C. MOYER, PHD., P.C.

Practice address

200 Main St
Manchester, CT 06042-3581

Phone

(860) 646-9660

NPI assigned

Dec 31, 2010

Organization subpart

No

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

Authorized official

Name

Dr. David C Moyer, PHD

Title

President

Phone

(860) 646-9660

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1293753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293753600000",
    "number": "1104120484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060423581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060423581",
            "telephone_number": "860-646-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C. MOYER, PHD., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-31",
        "last_updated": "2010-12-31",
        "status": "A",
        "authorized_official_last_name": "MOYER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-646-9660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CT",
            "license": "0000858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004009114",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Manchester, CT
• Providers in Manchester, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2010; 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.