NPIMap

Organization Active NPI

Moore Mental Health & Behavioral Services PLLC

  • Clinical Psychologist
  • Houston, TX
National Provider Identifier
1639428980
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
Legal business name
MOORE MENTAL HEALTH & BEHAVIORAL SERVICES PLLC
Practice address
17030 Nanes Dr Ste 201
Houston, TX 77090-2504
Phone
(281) 415-1280
Fax
(281) 271-8927
NPI assigned
Sep 2, 2012
Organization subpart
No

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

Authorized official

Name
Dr. Melissa A Moore, PSYDNPI 1609131127
Title
Owner
Phone
(281) 705-5620

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
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120928000065 TX Part B Supplier - Clinic/Group Practice 6507015989 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1639428980",
    "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": "281-271-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE MENTAL HEALTH & BEHAVIORAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-02",
        "last_updated": "2022-04-29",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-705-5620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.