Individual provider Active NPI

Megan McCusker Moore, PSY.D.

  • Clinical Psychologist
  • East Fallowfield Township, PA
National Provider Identifier
1730324021
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016562 Issued in PA
Practice address
100 Emerson Way
East Fallowfield Township, PA 19320-4343
Phone
(610) 405-1982
NPI assigned
Dec 16, 2008
Last updated
Dec 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS016562 PA Primary

Addresses

Primary practice location

100 Emerson Way
East Fallowfield Township, PA 19320-4343

Mailing address

100 Emerson Way
East Fallowfield Township, PA 19320-4343
Phone (610) 405-1982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20090325000398 PA Practitioner - Clinical Psychologist 9638236359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Moore Psychological Services LLCGroup PAC ID 0648415646, 11 clinicians

Practice addresses (Care Compare)

600 N Jackson St
Suite 201
Media, PA 19063-2574
Phone (610) 585-0307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Psychological Services, LLC Clinical CurrentSince Jan 10, 2013 Accepting new patients

Locations

906 Macdade Blvd
Folsom, PA 19033
Phone (610) 534-4242

600 N Jackson St
Ste 201
Media, PA 19063
Phone (610) 585-0307

175 E Chester Pike
Ridley Park, PA 19078
Phone (610) 595-6000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1730324021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EMERSON WAY",
            "city": "EAST FALLOWFIELD TOWNSHIP",
            "state": "PA",
            "postal_code": "193204343",
            "telephone_number": "610-405-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EMERSON WAY",
            "city": "EAST FALLOWFIELD TOWNSHIP",
            "state": "PA",
            "postal_code": "193204343",
            "telephone_number": "610-405-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MEGAN",
        "middle_name": "MCCUSKER",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Fallowfield Township, PA

Sources for this page

Verify at the official NPI Registry.