Active NPI
Jared O'Garro-Moore, PH.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1780171553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 023496
- Practice address
- 5 Columbus Cir FL 6
New York, NY 10019-1412 - Phone
- (212) 326-8442
- NPI assigned
- Apr 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 023496 | NY | Primary |
| Psychologist | 103T00000X | NY |
Addresses
Primary practice location
5 Columbus Cir FL 6
New York, NY 10019-1412
Mailing address
5 Columbus Cir FL 6
New York, NY 10019-1412
Other practice location 1
51 W 51st St Ste 340
New York, NY 10019-1951
Phone (212) 326-8442
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023496 | Other | NY | NYS LICENSE |
| 35SI00724800 | Other | NJ | NJ LICENSE |
| 4618 | Other | CT | CT LICENSE |
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 |
|---|---|---|---|
| 023496 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1780171553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 COLUMBUS CIR FL 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 COLUMBUS CIR FL 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191412",
"telephone_number": "212-326-8442"
}
],
"practiceLocations": [
{
"address_1": "51 W 51st St Ste 340",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100191951",
"country_code": "US",
"telephone_number": "212-326-8442",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'GARRO-MOORE",
"first_name": "JARED",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-17",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "023496",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "023496",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ LICENSE",
"identifier": "35SI00724800",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT LICENSE",
"identifier": "4618",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.