Individual provider Active NPI

Karen Lynn Moorhead, PHD

  • Psychologist
  • New Port Richey, FL
National Provider Identifier
1164418836
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY00002460 Issued in FL
Practice address
9912 Little Road
New Port Richey VA Outpatient Clinic
New Port Richey, FL 34654
Phone
(727) 869-4215
Fax
(727) 631-7130
NPI assigned
Sep 27, 2005
Last updated
Oct 7, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY00002460 FL Primary

Addresses

Primary practice location

9912 Little Road
New Port Richey VA Outpatient Clinic
New Port Richey, FL 34654

Mailing address

9912 Little Road
New Port Richey VA Outpatient Clinic
New Port Richey, FL 34654
Phone (727) 869-4215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY00002460FLMDPsychologist
2460FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Behavioral Health, LLC Past Accepting new patients
Benjamin N Cohen PHD PA Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1164418836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9912 LITTLE ROAD",
            "address_2": "NEW PORT RICHEY VA OUTPATIENT CLINIC",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34654",
            "telephone_number": "727-869-4215",
            "fax_number": "727-631-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9912 LITTLE ROAD",
            "address_2": "NEW PORT RICHEY VA OUTPATIENT CLINIC",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34654",
            "telephone_number": "727-869-4215",
            "fax_number": "727-631-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORHEAD",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY00002460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.