Individual provider Active NPI

Caroline Batchelor Moore, PSYD

  • Clinical Psychologist
  • Edgewater, MD
National Provider Identifier
1437728979
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
04073 Issued in MD
Practice address
420 S River Landing Rd
Edgewater, MD 21037-1551
Phone
(410) 279-0032
Fax
(410) 741-3895
NPI assigned
Jun 20, 2021
Last updated
Aug 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 04073 MD Primary

Addresses

Primary practice location

420 S River Landing Rd
Edgewater, MD 21037-1551

Mailing address

420 S River Landing Rd
Edgewater, MD 21037-1551
Phone (443) 714-8544

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Dr.BatchelorMoore

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20210713000272 MD Practitioner - Clinical Psychologist 6901208008 Practice locations: Edgewater, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

420 S River Landing Rd
Edgewater, MD 21037-1551
Phone (410) 279-0032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04073MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1624147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1437728979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S RIVER LANDING RD",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371551",
            "telephone_number": "443-714-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S RIVER LANDING RD",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210371551",
            "telephone_number": "410-279-0032",
            "fax_number": "410-741-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CAROLINE",
        "middle_name": "BATCHELOR",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-20",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Dr.BatchelorMoore",
            "affiliation": "N",
            "endpointDescription": "office email",
            "address_1": "420 S River Landing Rd",
            "city": "Edgewater",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210371551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edgewater, MD

Sources for this page

Verify at the official NPI Registry.