Active NPI
Dennis John Moran, PH.D.
- Clinical Psychologist
- Oklahoma City, OK
National Provider Identifier
1205875358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 463
- Practice address
- 1601 SW 89TH St
Suite B-100
Oklahoma City, OK 73159-6349 - Phone
- (405) 681-1227
- Fax
- (405) 681-1228
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 463 | OK | Primary |
Addresses
Primary practice location
1601 SW 89TH St
Suite B-100
Oklahoma City, OK 73159-6349
Mailing address
1601 SW 89TH St
Suite B-100
Oklahoma City, OK 73159-6349
Phone (405) 681-1227
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 463 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dennis J. Moran, PH.D. PC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Clinical Psychologay
- Clinical Psychologist
- Oklahoma City, OK
- NPI 1669521217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268352000000",
"number": "1205875358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 SW 89TH ST",
"address_2": "SUITE B-100",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731596349",
"telephone_number": "405-681-1227",
"fax_number": "405-681-1228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 SW 89TH ST",
"address_2": "SUITE B-100",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731596349",
"telephone_number": "405-681-1227",
"fax_number": "405-681-1228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "DENNIS",
"middle_name": "JOHN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2010-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OK",
"license": "463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.