Joyce A Moore, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

01046547A Issued in IN

Practice address

305 Wallace Ave
Saint Joseph, MI 49085-1827

Phone

(269) 983-3973

NPI assigned

Mar 24, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Joyce McCaughan Moore Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1689068025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 WALLACE AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851827",
            "telephone_number": "269-983-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 WALLACE AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490851827",
            "telephone_number": "269-983-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JOYCE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01046547A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOYCE",
            "last_name": "MOORE",
            "middle_name": "MCCAUGHAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mindful Foundations Counseling PLLC
• Hitoshi Miyata, LLPC
• Abdulrahman Mohammed, DO
• Alyssa Monohon, DO
• Donald Lee Moore Jr., MD
• Mary Melissa Moore, P.T.
• Xavier Elias Morales Cruz, CDP, CMDCP, CTP, BCC
• Paige Moreno, DO
• Marsha Morey, BCBA
• Miriam Mekila Morgan-Skinner, NP

• Psychiatry Physician in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.