Organization Active NPI

Roxanne Moore PHD PLLC

  • Psychologist
  • Bellingham, WA
National Provider Identifier
1366372971
Registry record updated May 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ROXANNE MOORE PHD PLLC
Practice address
1313 E Maple St
Ste 210
Bellingham, WA 98225-5708
Phone
(360) 393-9939
NPI assigned
May 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2026

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

Authorized official

Name
Dr. Roxanne Rose Moore, PHDNPI 1982841755
Title
Managing Member
Phone
(360) 393-9939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1313 E Maple St
Ste 210
Bellingham, WA 98225-5708

Mailing address

1313 E Maple St
Ste 210
Bellingham, WA 98225-5708
Phone (360) 393-9939

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779494400000",
    "number": "1366372971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 E MAPLE ST",
            "address_2": "STE 210",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255708",
            "telephone_number": "360-393-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 E MAPLE ST",
            "address_2": "STE 210",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255708",
            "telephone_number": "360-393-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXANNE MOORE PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-23",
        "last_updated": "2026-05-23",
        "certification_date": "2026-05-23",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "360-393-9939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2026; 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.