Active NPI
Tamika Lee Davis-Moore, LLP
- Clinical Psychologist
- Detroit, MI
National Provider Identifier
1578085189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6361008018
- Practice address
- 7800 W Outer Dr Ste LL30
Detroit, MI 48235-3461 - Phone
- (248) 299-0030
- Fax
- (248) 299-0030
- NPI assigned
- Jul 14, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6361008018 | MI | Primary |
Addresses
Primary practice location
7800 W Outer Dr Ste LL30
Detroit, MI 48235-3461
Mailing address
14225 Montrose St
Detroit, MI 48227-1781
Phone (313) 629-8600
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 |
|---|---|---|---|
| 6361008018 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1578085189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14225 MONTROSE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482271781",
"telephone_number": "313-629-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 W OUTER DR STE LL30",
"city": "DETROIT",
"state": "MI",
"postal_code": "482353461",
"telephone_number": "248-299-0030",
"fax_number": "248-299-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS-MOORE",
"first_name": "TAMIKA",
"middle_name": "LEE",
"credential": "LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-14",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6361008018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.