Individual provider Active NPI

Valeria Lynette Moore, PSY.D.

  • Clinical Psychologist
  • Sarasota, FL
National Provider Identifier
1235326067
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7370 Issued in FL
Practice address
200 Herons Run Dr Apt 219
Sarasota, FL 34232-1760
Phone
(941) 730-8807
NPI assigned
Sep 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY7370 FL Primary

Addresses

Primary practice location

200 Herons Run Dr Apt 219
Sarasota, FL 34232-1760

Mailing address

200 Herons Run Dr Apt 219
Sarasota, FL 34232-1760
Phone (941) 730-8807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071102000647 FL Practitioner - Clinical Psychologist 5496842700 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Behavioral Health Associates, LLCGroup PAC ID 2567624836, 97 clinicians

Practice addresses (Care Compare)

1200 7TH Ave N
St Petersburg, FL 33705-1300
Phone (727) 532-1355

3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Phone (727) 532-1355

4211 Van Dyke Rd
Lutz, FL 33558-8005
Phone (727) 532-1355

601 Main St
Dunedin, FL 34698-5848
Phone (727) 281-9065

6600 Madison St
New Port Richey, FL 34652-1971
Phone (727) 532-1355

Hospital & facility affiliations

  • Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Management Services, Inc. Current Accepting new patients
Baycare Behavioral Health Inc. Current Accepting new patients
Baycare Behavioral Health Associates LLC Clinical CurrentSince May 1, 2012 Accepting new patients
Behavioral Health Management Services, Inc. CurrentSince Jun 1, 2009 Accepting new patients
Winter Haven Hospital Inc CurrentSince Jan 23, 2021 Accepting new patients
Baycare Behavioral Health, Inc CurrentSince Jun 10, 2009 Accepting new patients
Baycare Behavioral Health Inc. CurrentSince Jun 10, 2009 Accepting new patients
Baycare Behavioral Health Associates LLC CurrentSince May 1, 2012 Accepting new patients
GPS II Past Accepting new patients
John P McDonough III PastSince Oct 1, 2004 Accepting new patients

Locations

1106 Druid Rd S
Clearwater, FL 33756
Phone (727) 584-6266

300 Pinellas St
Stop 70
Clearwater, FL 33756

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

3102 W Waters Ave
Ste 103
Tampa, FL 33614
Phone (813) 374-4498

2727 W Mlk Blvd
Ste 640
Tampa, FL 33607
Phone (813) 842-7582

Interoperability endpoints

  • Direct secure messaging: valeria.moorepsyd@direct.mybaycare.org

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1235326067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HERONS RUN DR APT 219",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342321760",
            "telephone_number": "941-730-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HERONS RUN DR APT 219",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342321760",
            "telephone_number": "941-730-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "VALERIA",
        "middle_name": "LYNETTE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.