Organization Active NPI

Comprehensive Mental Health Care Services Inc.

  • Clinical Psychologist
  • Palm Beach Gardens, FL
National Provider Identifier
1104450642
Registry record updated May 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
COMPREHENSIVE MENTAL HEALTH CARE SERVICES INC.
Practice address
9121 N Military TRL Ste 207
Palm Beach Gardens, FL 33410-5988
Phone
(561) 331-2302
NPI assigned
Feb 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2020

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

Authorized official

Name
Dr. Jessica Elizabeth Moe, PSY.D.NPI 1831573609
Title
PT/ Licensed Clinical Psychologist
Phone
(561) 331-2302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

9121 N Military TRL Ste 207
Palm Beach Gardens, FL 33410-5988

Mailing address

9121 N Military TRL Ste 207
Palm Beach Gardens, FL 33410-5988
Phone (561) 331-2302

Other practice location 1

2101 Vista Pkwy Ste 290
West Palm Beach, FL 33411-2706
Phone (561) 331-2302

National Provider Directory

National Provider Directory

Locations

9121 N Military Trl
Ste 207
Palm Beach Gardens, FL 33410
Phone (561) 252-2374

8259 N Military Trl
Ste 14
West Palm Beach, FL 33410
Phone (561) 499-1919

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589587200000",
    "number": "1104450642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 N MILITARY TRL STE 207",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105988",
            "telephone_number": "561-331-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9121 N MILITARY TRL STE 207",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105988",
            "telephone_number": "561-331-2302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Vista Pkwy Ste 290",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334112706",
            "country_code": "US",
            "telephone_number": "561-331-2302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPREHENSIVE MENTAL HEALTH CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-05-16",
        "certification_date": "2020-05-16",
        "status": "A",
        "authorized_official_last_name": "MOE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PT/ LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "561-331-2302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2020; 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.