Active NPI
Joel D Moore, ED.S.
- School Psychologist
- Redmond, OR
National Provider Identifier
1154274140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 511623
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 511623 | OR | MD | School 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.