Peter Moran, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3358 Issued in MA

Practice address

397 Grove St
Worcester, MA 01605-1223

Phone

(774) 253-1573

NPI assigned

Jul 25, 2006

Last updated

Apr 29, 2016By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• 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, 1982

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Cornerstone Behavioral Health Inc.Group PAC ID 9537472642, 6 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cornerstone Behavioral Health Inc.

  • Clinical Psychologist
  • Worcester, MA
  • NPI 1902227275
  Medicare reassignment Care Compare group Authorized official
• Karen M Leblanc MD

  • Psychiatry Physician
  • Fitchburg, MA
  • NPI 1104240787
  NPD (past)
• Karen M Leblanc MD LLC

  • Psychiatry Physician
  • Fitchburg, MA
  • NPI 1245620707
  NPD (past)
• Prescott Health Care

  • Psychiatry Physician
  • Worcester, MA
  • NPI 1477567451

  Clinical

  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1700809399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 GROVE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051223",
            "telephone_number": "774-253-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 GROVE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016051223",
            "telephone_number": "774-253-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "PETER",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "3358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0522228",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS - MA",
            "identifier": "W03608",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amelia J Moran
• Amy L Moran, MSW, LCSW
• Kelsey Moran
• Lori Lee Moran, BA
• Megan Moran, LMHC
• Robert Massey Moran, PA
• Sydney E. Moran, LICSW
• Victoria Moria Moran, PHYSICAL THERAPIST
• Grace Veronica Moravec
• Maryam Moravvej Farshi

• Clinical Psychologist in Worcester, MA
• Providers in Worcester, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.