Dawn Marie McDaniel Moeller, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS006287L Issued in PA

Practice address

2957 Ridge Rd
South Park, PA 15129-8824

Phone

(412) 913-6109

NPI assigned

Jul 18, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Dawn Marie Moeller Other name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dawn Marie Friend Psy D LLCGroup PAC ID 6608010269, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Dawn Marie Friend, PSYD, LLC

  • Clinical Psychologist
  • South Park, PA
  • NPI 1851733810
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1679208474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 HERTFORD DR",
            "city": "SOUTH PARK",
            "state": "PA",
            "postal_code": "151298961",
            "telephone_number": "412-913-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2957 RIDGE RD",
            "city": "SOUTH PARK",
            "state": "PA",
            "postal_code": "151298824",
            "telephone_number": "412-913-6109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 E McMurray Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Mc Murray",
            "state": "PA",
            "postal_code": "153173440",
            "country_code": "US",
            "telephone_number": "412-913-6109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDANIEL MOELLER",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS006287L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "MOELLER",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gabriella Emmari Locke, PHD, LPC, CSAT, CATP
• Lucent Caregiving Services LLC
• Shawna L. Lupori, LPC: PC012645
• David Robert Marchewka, PHARM. D.
• Michael S. McCaffrey, O.D.
• Andrew Ray Mills, PSYD
• Chad Ryan Morris, DMD
• Theodore Mark Morris, DMD
• Nationwide Medical, Inc
• Nationwide Medical, Inc

• Clinical Psychologist in South Park, PA
• Providers in South Park, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.