Active NPI
Cindy S Moore, MAHSP
- Psychologist
- Greenville, NC
National Provider Identifier
1609923606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0421
- Practice address
- 103 Oakmont Dr
Ste 2 and 3
Greenville, NC 27858 - Phone
- (252) 321-1570
- Fax
- (252) 321-6528
- NPI assigned
- Jan 4, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0421 | NC | Primary |
Addresses
Primary practice location
103 Oakmont Dr
Ste 2 and 3
Greenville, NC 27858
Mailing address
103 Oakmont Dr
Ste 2 and 3
Greenville, NC 27858
Phone (252) 321-1570
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 562165173 | Other | FED IDENTIFICATION NUMBER | |
| 144M7 | Other | NC | BCBS |
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 |
|---|---|---|---|
| 0421 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238371200000",
"number": "1609923606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 OAKMONT DR",
"address_2": "STE 2 AND 3",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27858",
"telephone_number": "252-321-1570",
"fax_number": "252-321-6528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 OAKMONT DR",
"address_2": "STE 2 AND 3",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27858",
"telephone_number": "252-321-1570",
"fax_number": "252-321-6528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "CINDY",
"middle_name": "S",
"credential": "MAHSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2009-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "0421",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FED IDENTIFICATION NUMBER",
"identifier": "562165173",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "144M7",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.