Tracee N. Moore, PH.D., LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

TRACEE N. MOORE, PH.D., LLC

Practice address

1936 Bruce B Downs Blvd
Suite 75
Wesley Chapel, FL 33544-9262

Phone

(678) 939-8150

NPI assigned

Jul 27, 2012

Last updated

May 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tracee N Moore, PH.DNPI 1396090726

Title

Licensed Psychologist

Phone

(813) 714-7999

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracee Moore, PH.D

  • Psychologist
  • Gainesville, FL
  • NPI 1396090726
  Authorized official Same address or phone

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1336495332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 BRUCE B DOWNS BLVD",
            "address_2": "SUITE 75",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335449262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 BRUCE B DOWNS BLVD",
            "address_2": "SUITE 75",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335449262",
            "telephone_number": "678-939-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACEE N. MOORE, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TRACEE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "813-714-7999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8549",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "FL",
            "license": "PY8549",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.