Louis Ernesto Mora, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

018957-1 Issued in NY

Practice address

30 Station Court
Suite 21
Bellport, NY 11713-2454

Phone

(347) 740-5690

Fax

(833) 225-9073

NPI assigned

Dec 4, 2012

Sex

Male

Sole proprietor

No

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

Enrolled in NY

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

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

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.

• Louis E Mora PHD Psychologist PC

  • Clinical Psychologist
  • Roslyn Heights, NY
  • NPI 1902141328
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1336484112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MELROSE PKWY",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117726269",
            "telephone_number": "347-740-5690",
            "fax_number": "833-255-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 STATION COURT",
            "address_2": "SUITE 21",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132454",
            "telephone_number": "347-740-5690",
            "fax_number": "833-225-9073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Glen Cove Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Roslyn Heights",
            "state": "NY",
            "postal_code": "115771730",
            "country_code": "US",
            "telephone_number": "347-740-5690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORA",
        "first_name": "LOUIS",
        "middle_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-04",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "018957-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Miller, LMSW
• Lisa Molluso
• Vanessa Leigh Monteith, LPN
• Amber Lynn Montgomery-Mann
• Domenique Moore
• Melissa Morales, LPN
• Nicole Elizabeth Muglia, OTR/L
• Jason Muniz
• Colline Ann Murphy, LPN
• Kimberly Narciso, LCSW

• Psychologist in Bellport, NY
• Providers in Bellport, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.