Michelle Moore PHD Inc. a Professional Psychological Corpora

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MICHELLE MOORE PHD INC. A PROFESSIONAL PSYCHOLOGICAL CORPORA

Practice address

2413 Appian Rd
Carlsbad, CA 92010-2153

Phone

(949) 933-1570

NPI assigned

Nov 3, 2025

Last updated

Nov 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Joceline Moore, PHDNPI 1790416824

Title

President

Phone

(949) 933-1570

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Joceline Moore, PHD

  • Psychologist
  • San Clemente, CA
  • NPI 1790416824
  Medicare reassignment NPD Authorized official
• Donna Cohen Cretcher, LCSW

  • Clinical Social Worker
  • Morgan Hill, CA
  • NPI 1952418600
  NPD (past)
• Martin Arthur Johnson, M.D.

  • Psychiatry Physician
  • San Clemente, CA
  • NPI 1295957660
  NPD (past)

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763164800000",
    "number": "1104795731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 APPIAN RD",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920102153",
            "telephone_number": "949-933-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 APPIAN RD",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920102153",
            "telephone_number": "949-933-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE MOORE PHD INC. A PROFESSIONAL PSYCHOLOGICAL CORPORA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-15",
        "certification_date": "2025-11-15",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "JOCELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-933-1570",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Alyssa Meza
• Michael D Berry DC Chiropractic
• Michael K. Tracy, M.D., PC (Carlsbad Eye Care)
• John Charles Michals, D.C.
• Judith Jasmin Michel
• Rocio Middleton
• William Everett Middleton, LCSW
• Anna Mihai
• Kaitlin Marie Mikkelsen, PT, DPT
• Elizabeth Rose Miles

• Psychologist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.