Hugh D Moore, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2682 Issued in TN

Practice address

5366 Estate Office Dr
Suite 3
Memphis, TN 38119-0611

Phone

(901) 454-9233

Fax

(901) 881-0674

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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

• Craig W. Pearl, Psy.D., P.C.

  • Clinical Psychologist
  • Mount Laurel, NJ
  • NPI 1043320104
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1174746713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5366 ESTATE OFFICE DR",
            "address_2": "SUITE 3",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190611",
            "telephone_number": "901-454-9233",
            "fax_number": "901-881-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5366 ESTATE OFFICE DR",
            "address_2": "SUITE 3",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190611",
            "telephone_number": "901-454-9233",
            "fax_number": "901-881-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "HUGH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "2682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103I622930",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dwight Melvyn Moore, M.D.
• Elizabeth Clara Moore
• Felix Moore
• Gordon Moore, DDS
• Heather Marie Moore, CRNA
• Jane Nathanielle Moore, DMD
• Jeannine Moore, PT
• Joshua Ryan Moore, MD
• Joyce McCulley Moore, NP
• Kanesha Moore

• Psychologist in Memphis, TN
• Providers in Memphis, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.