Todd Elliott Moore, M.D.

Primary specialty

Forensic Psychiatry PhysicianTaxonomy code 2084F0202X

License

4301067744 Issued in MI

Practice address

8303 Platt Rd
Center for Forensic Psychiatry
Saline, MI 48176-9773

Phone

(734) 295-4283

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649303876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11556 ALGONQUIN DR",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481699520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 PLATT RD",
            "address_2": "CENTER FOR FORENSIC PSYCHIATRY",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481769773",
            "telephone_number": "734-295-4283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TODD",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "MI",
            "license": "4301067744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Suarez Minnette
• Mir M. Asghar MD PLC
• Patricia Marie Molloy, LPC
• Emmanuella Moomey, LLPC
• Matthew Gresser Moore, MD
• Julie Ann-Francis Morelock, MD
• Kaiten Lee Morgan-Macewen, RDN
• Jarrad William Morgan, DO
• Nicholas Wingate Morgenstern, MD
• Suzanne Morrison, LMSW, CBIS

• Forensic Psychiatry Physician in Saline, MI
• Providers in Saline, MI by specialty
• Forensic Psychiatry Physician in Michigan

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.