Stephen Moe, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

32633 Issued in CO

Practice address

2501 Walnut St Ste 207
Boulder, CO 80302-5753

Phone

(720) 339-7920

Fax

(303) 442-1125

NPI assigned

Sep 21, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Lowry Psychiatry PC

  • Psychiatry Physician
  • Greenwood Village, CO
  • NPI 1679422695
  NPD Authorized official
• Boulder Center for TMS LLC

  • Psychiatry Physician
  • Boulder, CO
  • NPI 1992236319
  NPD (past)
• Longmont United Hospital

  • General Acute Care Hospital
  • Longmont, CO
  • NPI 1366465866
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740389592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 WALNUT ST STE 207",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025753",
            "telephone_number": "720-339-7920",
            "fax_number": "303-442-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 WALNUT ST STE 207",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025753",
            "telephone_number": "720-339-7920",
            "fax_number": "303-442-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOE",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "32633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01326339",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Phillip Mockus, PHD
• Naomi Moddel, LCSW
• Janine Marie Moderski, MA, LPC
• Kelsie Modlich
• Rachael Moe, MA
• Megan Moede
• Mark Steven Moeller
• Afra Moenter, PHD
• Michelle Justine Moffett
• Lisa Emblen Moffitt

• Psychiatry Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Psychiatry Physician in Colorado

• 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.