Active NPI
Whitney Moore, PSY.D.
- Psychologist
- Cambridge, MA
National Provider Identifier
1528347952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 2000 Massachusetts Ave Ste 4
Cambridge, MA 02140 - Phone
- (857) 264-1633
- NPI assigned
- Aug 16, 2011
- Last updated
- Sep 18, 2019
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 9437 | MA | |
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
2000 Massachusetts Ave Ste 4
Cambridge, MA 02140
Mailing address
2000 Massachusetts Ave Ste 4
Cambridge, MA 02140-2100
Phone (857) 264-1633
Other practice location 1
3 Bow St
Cambridge, MA 02138-5109
Phone (617) 547-2255 ext. 240
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9437 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568764800000",
"number": "1528347952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 MASSACHUSETTS AVE STE 4",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021402100",
"telephone_number": "857-264-1633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MASSACHUSETTS AVE STE 4",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02140",
"telephone_number": "857-264-1633"
}
],
"practiceLocations": [
{
"address_1": "3 Bow St",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021385109",
"country_code": "US",
"telephone_number": "617-547-2255 x240",
"fax_number": "617-547-0003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOORE",
"first_name": "WHITNEY",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-16",
"last_updated": "2019-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "9437",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.