Active NPI
Halley M Moore, PHD
- Psychologist
- Paso Robles, CA
National Provider Identifier
1730454190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY26358
- Practice address
- 625 14TH St
Paso Robles, CA 93446-2285 - Phone
- (805) 234-3238
- NPI assigned
- Mar 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY26358 | CA | Primary |
Addresses
Primary practice location
625 14TH St
Paso Robles, CA 93446-2285
Mailing address
625 14TH St
Paso Robles, CA 93446-2285
Phone (805) 234-3238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY26358 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401926400000",
"number": "1730454190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 14TH ST",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "934462285",
"telephone_number": "805-234-3238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 14TH ST",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "934462285",
"telephone_number": "805-234-3238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "HALLEY",
"middle_name": "M",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-19",
"last_updated": "2014-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY26358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paso Robles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.