Individual provider Active NPI

Joel D Moore, ED.S.

  • School Psychologist
  • Redmond, OR
National Provider Identifier
1154274140
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
511623 Issued in OR
Practice address
1314 SW Kalama Ave BLDG B
Redmond, OR 97756-3054
Phone
(541) 325-2410
NPI assigned
Feb 18, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 511623 OR Primary

Addresses

Primary practice location

1314 SW Kalama Ave BLDG B
Redmond, OR 97756-3054

Mailing address

1314 SW Kalama Ave BLDG B
Redmond, OR 97756-3054
Phone (541) 325-2410

Other practice location 1

209 NW 10th St
Redmond, OR 97756-1799
Phone (541) 923-4878

Other practice location 2

3001 SW Obsidian Ave
Redmond, OR 97756-6736
Phone (541) 923-4878

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
511623ORMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1771372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1154274140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 SW KALAMA AVE BLDG B",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977563054",
            "telephone_number": "541-325-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 SW KALAMA AVE BLDG B",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977563054",
            "telephone_number": "541-325-2410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 NW 10th St",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977561799",
            "country_code": "US",
            "telephone_number": "541-923-4878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3001 SW Obsidian Ave",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977566736",
            "country_code": "US",
            "telephone_number": "541-923-4878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JOEL",
        "middle_name": "D",
        "credential": "ED.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-18",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OR",
            "license": "511623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.