Mark D Moreland, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

022115 Issued in NY

Practice address

108 Montgomery St
Rhinebeck, NY 12572-1106

Phone

(845) 243-2917

Fax

(844) 430-0216

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1508858788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MONTGOMERY ST",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721106",
            "telephone_number": "845-243-2917",
            "fax_number": "844-430-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MONTGOMERY ST",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721106",
            "telephone_number": "845-243-2917",
            "fax_number": "844-430-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELAND",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryjane L. Montalto, PSY. D.
• Montefiore Medical Center
• Stacey Marie Mooney, PHARM.D.
• Ella Florence Moore, RN
• Robert L Moran, MD
• Lindsey Anne Morelle, PSY.D.
• Arlisa Heavenly Morrison, REGISTERED NURSE
• Michelle L Morse, LPN
• Trent Ryan Morse, LAC
• Michael S Moses, MD

• Clinical Psychologist in Rhinebeck, NY
• Providers in Rhinebeck, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.