Individual provider Active NPI

Melissa Moore, PSYD

  • Clinical Psychologist
  • Houston, TX
National Provider Identifier
1609131127
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
36006 Issued in TX
Practice address
17030 Nanes Dr Ste 201
Houston, TX 77090-2504
Phone
(281) 415-1280
Fax
(281) 271-8971
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 36006 TX Primary

Addresses

Primary practice location

17030 Nanes Dr Ste 201
Houston, TX 77090-2504

Mailing address

PO Box 90446
Houston, TX 77290-0446
Phone (281) 919-1059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20120928000120 TX Practitioner - Clinical Psychologist 3577712959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deer Oaks Geriatric Services P CGroup PAC ID 9234034075, 45 clinicians

Practice addresses (Care Compare)

7272 Wurzbach Rd
San Antonio, TX 78240-4803
Phone (210) 615-3483

Merit-based Incentive Payment System (MIPS)

Final score
91.17 of 100Reported as group
Quality
83.48
Improvement activities
40
Cost
67.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
36006TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Mental Health & Behavioral Services PLLC Clinical CurrentSince Jul 30, 2012 Accepting new patients
Deer Oaks Geriatric Services P C Clinical CurrentSince Oct 26, 2022 Accepting new patients
Deer Oaks Mental Health Associates PC Clinical Past Accepting new patients

Locations

13810 Champion Forest Dr
Ste 150
Houston, TX 77069
Phone (281) 231-8475

17030 Nanes Dr
Ste 201
Houston, TX 77090
Phone (281) 415-1280

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

Organizations & group practices 3

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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1609131127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90446",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772900446",
            "telephone_number": "281-919-1059",
            "fax_number": "281-271-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17030 NANES DR STE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902504",
            "telephone_number": "281-415-1280",
            "fax_number": "281-271-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2022-04-29",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.