Active NPI
Donald Thomas Moore, PHD.
- Psychologist
- Los Angeles, CA
National Provider Identifier
1134256829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY5121
- Practice address
- 8271 Melrose Avenue #102
Los Angeles, CA 90046 - Phone
- (790) 272-1810
- Fax
- (310) 289-8021
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY5121 | CA | Primary |
Addresses
Primary practice location
8271 Melrose Avenue #102
Los Angeles, CA 90046
Mailing address
8271 Melrose Avenue #102
Los Angeles, CA 90046
Phone (790) 272-1810
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY5121 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1134256829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8271 MELROSE AVENUE #102",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90046",
"telephone_number": "790-272-1810",
"fax_number": "310-289-8021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8271 MELROSE AVENUE #102",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90046",
"telephone_number": "790-272-1810",
"fax_number": "310-289-8021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "DONALD",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "PHD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY5121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.