Active NPI
Daniel C Moore, MD
- Psychiatry Physician
- Hamden, CT
National Provider Identifier
1568476935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 016943
- Practice address
- 60 Washington Ave
Suite 304
Hamden, CT 06518 - Phone
- (203) 281-2890
- Fax
- (203) 281-2896
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 016943 | CT | Primary |
Addresses
Primary practice location
60 Washington Ave
Suite 304
Hamden, CT 06518
Mailing address
60 Washington Ave
Suite 304
Hamden, CT 06518
Phone (203) 281-2890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016943 | CT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Psychiatric Group PC | Past | Accepting new patients |
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.
-
- Psychiatric/Mental Health Clinical Nurse Specialist
- Hamden, CT
- NPI 1518142058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568476935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 WASHINGTON AVE",
"address_2": "SUITE 304",
"city": "HAMDEN",
"state": "CT",
"postal_code": "06518",
"telephone_number": "203-281-2890",
"fax_number": "203-281-2896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 WASHINGTON AVE",
"address_2": "SUITE 304",
"city": "HAMDEN",
"state": "CT",
"postal_code": "06518",
"telephone_number": "203-281-2890",
"fax_number": "203-281-2896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "DANIEL",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "016943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.