Peter Andre Moisan, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

013576 Issued in NY

Practice address

3055 Route 9
Valatie, NY 12184-0570

Phone

(518) 758-2237

Fax

(518) 732-1137

NPI assigned

Nov 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Valatie Psychological Services, PLLC

  • Clinical Psychologist
  • Valatie, NY
  • NPI 1104456193
  Medicare reassignment NPD Authorized official
• Kinderhook Psychological Services PLLC

  • Psychologist
  • Valatie, NY
  • NPI 1043380611
  Medicare reassignment Authorized official
• Columbia Memorial Hospital

  • Multi-Specialty Clinic/Center
  • Hudson, NY
  • NPI 1417371519
  NPD (past)
• Dennis Marcus MD PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Valatie, NY
  • NPI 1003876020

  Psychologist

  NPD (past)
• South County Psychiatric & Psychotherapy Center

  • Psychiatry Physician
  • GT Barrington, MA
  • NPI 1225098239
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598835175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570",
            "city": "VALATIE",
            "state": "NY",
            "postal_code": "12184",
            "telephone_number": "518-758-2237",
            "fax_number": "518-732-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 ROUTE 9",
            "city": "VALATIE",
            "state": "NY",
            "postal_code": "121840570",
            "telephone_number": "518-758-2237",
            "fax_number": "518-732-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOISAN",
        "first_name": "PETER",
        "middle_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "013576",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "7347",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY15331",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martins Foods of South Burlington LLC
• Nancy Matusiak
• Ross B. McCabe, M.S.W.
• Susan L Mekosh, P.A.
• Paula Mary Moisan, PSYD
• Montefiore Medical Center
• Nassau Medical Supply, Inc.
• Kristen Marie Neil, PA-C
• Pamela Dawn Neves
• Northland Hearing Centers, Inc (Ascent Audiology & Hearing)

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

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.