Active NPI
Jean Moore, PHD
- Clinical Psychologist
- Carmel, CA
National Provider Identifier
1457547507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY11127
- Practice address
- 26384 Carmel Rancho LN Ste 200H
Carmel, CA 93923-8750 - Phone
- (831) 624-7810
- Fax
- (831) 626-0868
- NPI assigned
- Sep 22, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY11127 | CA | Primary |
Addresses
Primary practice location
26384 Carmel Rancho LN Ste 200H
Carmel, CA 93923-8750
Mailing address
PO Box 223179
Carmel, CA 93922-3179
Phone (831) 624-7810
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY11127 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190419200000",
"number": "1457547507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 223179",
"city": "CARMEL",
"state": "CA",
"postal_code": "939223179",
"telephone_number": "831-624-7810",
"fax_number": "831-626-0868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26384 CARMEL RANCHO LN STE 200H",
"city": "CARMEL",
"state": "CA",
"postal_code": "939238750",
"telephone_number": "831-624-7810",
"fax_number": "831-626-0868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JEAN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-22",
"last_updated": "2007-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY11127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.