NPIMap

Organization Active NPI

Moore Care Therapy and Psychology Clinic

  • Psychiatric/Mental Health Nurse Practitioner
  • Florence, SC
National Provider Identifier
1619629375
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MOORE CARE THERAPY AND PSYCHOLOGY CLINIC
Practice address
1801 W Evans St Ste 107
Florence, SC 29501-3801
Phone
(888) 918-2415
NPI assigned
Jan 24, 2022
Last updated
Jan 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Authorized official

Name
Ms. Rosalyn MooreNPI 1285097790
Title
Ceo
Phone
(843) 598-6605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1801 W Evans St Ste 107
Florence, SC 29501-3801

Mailing address

1801 W Evans St Ste 107
Florence, SC 29501-3801
Phone (888) 918-2415

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Florence Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220331002120 SC Part B Supplier - Clinic/Group Practice 5698161560 Receives reassigned benefits from 5 practitioners
Practice locations: Florence, SC

National Provider Directory

National Provider Directory

Locations

436 W Palmetto St
Ste D
Florence, SC 29501

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1619629375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W EVANS ST STE 107",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013801",
            "telephone_number": "888-918-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W EVANS ST STE 107",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013801",
            "telephone_number": "888-918-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE CARE THERAPY AND PSYCHOLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ROSALYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-598-6605",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Florence",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1801 W Evans St Ste 107",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295013801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.