Daniel J Moran, PHD BCBA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071006470 Issued in IL

Practice address

1415 Maple Rd
Joliet, IL 60432-1442

Phone

(815) 735-0732

Fax

(815) 722-7310

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Institute for Higher Performance

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1306443833
  NPD Authorized official
• Optimize Psychological Health PLLC

  • Clinical Psychologist
  • Long Beach, NY
  • NPI 1558171140
  NPD Authorized official
• Trinity Services Inc.

  • Physician Assistant
  • Joliet, IL
  • NPI 1942750534
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1649386830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 MAPLE RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604321442",
            "telephone_number": "815-735-0732",
            "fax_number": "815-722-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 MAPLE RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604321442",
            "telephone_number": "815-735-0732",
            "fax_number": "815-722-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "PHD BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID NUMBER",
            "identifier": "9932152",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrycja Arleta Moore, BCBA
• Mauricio Morales, MD
• Melisa Morales
• Miranda Nikole Morales
• Silvio David Morales Jr., M.D.
• Joseph A Moreno, O.D.
• Rishikesh Morey, M.D.
• David D Morimoto, M.D.
• Stephen Morimoto, DDS
• Gregory R Morin, LCPC

• Clinical Psychologist in Joliet, IL
• Providers in Joliet, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.