Anthony B Moore, PH. D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY002459 Issued in FL

Practice address

3333 W Kennedy Blvd Ste 104
Tampa, FL 33609-2952

Phone

(813) 879-4415

NPI assigned

Jul 26, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710901533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 W KENNEDY BLVD STE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092952",
            "telephone_number": "813-879-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W KENNEDY BLVD STE 104",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092952",
            "telephone_number": "813-879-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANTHONY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY002459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moore Clinical Research Inc, Dba Ready Care Center
• Shylah Marie Moore Pardo, MD
• Moore Than Speech Therapy LLC
• Andrew David Moore, MD
• Annie Yarmah Moore
• Antionette Yvonne Moore, PHARMD
• April Moore
• Brandi Moore
• Brian Eugene Moore, PHYSICIAN ASSISTANT
• Cameron Olin Moore, DPT

• Psychologist in Tampa, FL
• Providers in Tampa, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.