Erin Leigh Moorman, PHD
Individual provider Active NPI Psychologist · Cincinnati, OH
NPI 1295586907 · NPPES record last updated Sep 20, 2024
Key facts
- NPI
- 1295586907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- P.08682 (OH)
- Practice address
- 3333 Burnet Ave. - ML 3015
Cincinnati, OH 45229-3015 - Phone
- (317) 667-7430
- NPI assigned
- Mar 29, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Children'S Hospital Medical Center
Practice addresses (Care Compare)
3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone (513) 636-4200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241101000283 | OH | Practitioner - Clinical Psychologist | 7315470127 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Medical Center | Psychologist | Current |
Accepting new patients |
Locations
3341 Solutions Ctr
Chicago, IL 60677
3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200
3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225
3333 Burnet Ave
#3015
Cincinnati, OH 45229
Phone (513) 636-4336
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | P.08682 | OH | Yes |
Addresses
Primary practice location
3333 Burnet Ave. - ML 3015
Cincinnati, OH 45229-3015
Mailing address
3333 Burnet Ave. - ML 3015
Cincinnati, OH 45229-3015
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.