Marcia S. Moore, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

415 Issued in OK

Practice address

4140 W Memorial Rd
Ste. 221
Oklahoma City, OK 73120-8366

Phone

(405) 755-5801

Fax

(405) 755-5949

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Sebastian PC

  • Psychiatry Physician
  • Oklahoma City, OK
  • NPI 1982856548
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194739102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD",
            "address_2": "STE. 221",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208366",
            "telephone_number": "405-755-5801",
            "fax_number": "405-755-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD",
            "address_2": "STE. 221",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208366",
            "telephone_number": "405-755-5801",
            "fax_number": "405-755-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MARCIA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OK",
            "license": "415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Moore
• Leigh Nicole Moore
• Leondra Alecia Moore, LCSW
• Mac E. Moore, MD
• Marcia Monroe Moore, MD
• Matthew Moore
• Michael Moore, MA, LADC
• Mitchell Price Moore, LPC
• Nicole Annette Ayala Moore
• Nigel A Moore

• Counseling Psychologist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Counseling Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.