Individual provider Active NPI

Janice Bracy Moore

  • School Psychologist
  • Naples, FL
National Provider Identifier
1548065436
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SS1923 Issued in FL
Practice address
5633 Strand Blvd Ste 311
Naples, FL 34110-7383
Phone
(239) 293-3761
NPI assigned
Feb 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X
School Psychologist 103TS0200X SS1923 FL Primary

Addresses

Primary practice location

5633 Strand Blvd Ste 311
Naples, FL 34110-7383

Mailing address

524 Pompano Dr
Naples, FL 34110-1134
Phone (239) 293-3761

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

LicenseStateTypeSpecialty
SS1923FLMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Future Psychology PLLC School CurrentSince Feb 23, 2025 Accepting new patients

Locations

5633 Strand Blvd
Ste 311
Naples, FL 34110
Phone (239) 293-3761

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1548065436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 POMPANO DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101134",
            "telephone_number": "239-293-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5633 STRAND BLVD STE 311",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341107383",
            "telephone_number": "239-293-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JANICE",
        "middle_name": "BRACY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-15",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS1923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.