Carolyn Moore, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3097 Issued in NC

Practice address

1801 Fayetteville St
Durham, NC 27707-3129

Phone

(919) 530-5294

Fax

(919) 530-5270

NPI assigned

Jan 6, 2016

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)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1265898274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 GRANDOVER DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136085",
            "telephone_number": "919-282-2115",
            "fax_number": "919-530-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 FAYETTEVILLE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073129",
            "telephone_number": "919-530-5294",
            "fax_number": "919-530-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CAROLYN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braylee Booker Moore
• Brenda Moore
• Brennan Moore
• Camilla Moore
• Caroline Marie Moore, MD
• Cassandra Dawn Moore, MSN, APRN, NNP-BC
• E Jean Herndon Moore, D.MIN., LCASA
• Eric Stephen Moore, M.D.
• Erin Moore, M.ED. CCC-SLP
• Harvey G. Moore, MD

• Clinical Psychologist in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.