Moira Ellen Egan

Primary specialty

Psychoanalysis PsychologistTaxonomy code 103TP0814X

License

001051-01 Issued in NY

Practice address

230 W 105TH St Apt 7E
New York, NY 10025-3954

Phone

(917) 856-7717

NPI assigned

Jul 30, 2012

Last updated

May 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1548516347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W 105TH ST APT 7E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253954",
            "telephone_number": "917-856-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W 105TH ST APT 7E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253954",
            "telephone_number": "917-856-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "MOIRA",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NY",
            "license": "001051-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Egan, CRNA
• Grace Egan, BM. BS
• Jessica Egan, PH.D.
• Jonathan Max Egan, LMSW
• Matthew C Egan, M.D.
• Shannon Marie Egan, DNP, MSPH, CNM
• Wendy Jill Egan, LCSW
• William John Egan III, M.D.
• Michael Egarr, RN
• Ana Egas

• Psychoanalysis Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychoanalysis Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.