Active NPI
Tonie S. Moran, PH.D.
- Clinical Psychologist
- Concord, MA
National Provider Identifier
1427162007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1825
- Practice address
- 95 Conant St
Unit 304
Concord, MA 01742 - Phone
- (978) 505-7615
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1825 | MA | Primary |
| Clinical Psychologist | 103TC0700X | 643 | NH |
Addresses
Primary practice location
95 Conant St
Unit 304
Concord, MA 01742
Mailing address
95 Conant St
Unit 304
Concord, MA 01742
Phone (978) 505-7615
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1825 | Other | MA | LICENSE |
| 643 | Other | NH | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1825 | MA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466726400000",
"number": "1427162007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 CONANT ST",
"address_2": "UNIT 304",
"city": "CONCORD",
"state": "MA",
"postal_code": "01742",
"telephone_number": "978-505-7615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 CONANT ST",
"address_2": "UNIT 304",
"city": "CONCORD",
"state": "MA",
"postal_code": "01742",
"telephone_number": "978-505-7615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "TONIE",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2016-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "1825",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NH",
"license": "643",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "1825",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "643",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.