Michelle Moore, PHD, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6699 Issued in FL

Legal business name

MICHELLE MOORE, PHD, LLC

Practice address

1710 Bearberry Cir Apt 101
Lutz, FL 33559-8781

Phone

(303) 345-3728

Fax

(888) 868-5424

NPI assigned

Oct 7, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Renee Widows, PHD

Title

Clinical Psychologist

Phone

(303) 345-3728

Specialties & licenses 4

Addresses

Other names 1

• Moore Behavioral Health Doing business as

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1659606705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 BEARBERRY CIR APT 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335598781",
            "telephone_number": "303-345-3728",
            "fax_number": "888-868-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 BEARBERRY CIR APT 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335598781",
            "telephone_number": "303-345-3728",
            "fax_number": "888-868-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE MOORE, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "WIDOWS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "303-345-3728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CO",
            "license": "3155",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3155",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6699",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": "CO",
            "license": "3155",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olevia Metry, M.D.
• Hannah Sarah Mey
• Caryn Meyer-Figgins
• Courtney Dell Meyer
• Nicholas Micciche, PHARMD
• Gina Rebecca Midyett, MA
• Carly Elizabeth Migliorino, OD
• Ella Migliorino
• Joseph Carl Militello, M.D.
• Milk Wagon

• Clinical Psychologist in Lutz, FL
• Providers in Lutz, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.