Renee Y Moore, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1785 Issued in AL

Practice address

2 Riverchase Office PLZ Ste 115
Hoover, AL 35244-2810

Phone

(205) 403-0955

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Burge Psychological Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hoover, AL
  • NPI 1225650609
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1215050448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RIVERCHASE OFFICE PLZ STE 115",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442810",
            "telephone_number": "205-403-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 RIVERCHASE OFFICE PLZ STE 115",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442810",
            "telephone_number": "205-403-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "RENEE",
        "middle_name": "Y",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1968",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "1785",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "04789",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "PSY1000811",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410230400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "614S",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marquisha Denise Moore Jarmon, MD
• Amy Wortham Moore, M.ED., CCC-SLP
• Angie Marie Moore, RN
• Bonnie Jo Moore, CRNP
• Douglas O Moore, M.D.
• Taylor Moore
• Moreland Care Group LLC
• Cary T Morgan, PT
• Micah Reagan Morgan, CRNP
• Robert Connor Morgan, OD

• Psychologist in Hoover, AL
• Providers in Hoover, AL by specialty
• Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.