Active NPI
Maria T Moran, PH.D.
- Clinical Psychologist
- Hummelstown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS017978
- Practice address
- 1135 Old West Chocolate Ave, Ste 101
Penn State Hershey Physical Medicine & Rehabilitation
Hummelstown, PA 17036 - Phone
- (717) 531-7010
- Fax
- (717) 531-7102
- NPI assigned
- Feb 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 | PS017978 | PA | Primary |
| Clinical Psychologist | 103TC0700X | 826 | WV |
Addresses
Primary practice location
1135 Old West Chocolate Ave, Ste 101
Penn State Hershey Physical Medicine & Rehabilitation
Hummelstown, PA 17036
Mailing address
PO Box 858
Hershey, PA 17033-0858
Phone (717) 531-7010
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00109680 | Other | WV | RAILROAD MEDICARE |
| CA7344 | Other | WV | RAILROAD MEDICARE GROUP # |
| 9203052000 | Medicaid | WV |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1135 Olde W Chocolate Ave
Suite 101
Hummelstown, PA 17036-9188
Phone (717) 531-7010
500 Universidy Dr
Hershey, PA 17033-2360
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.36 of 100
- Quality
- 56.69
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 826 | WV | MD | Professional Counselor |
| PS017978 | PA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physicians Group | Clinical | Current | Accepting new patients |
| The Milton S Hershey Medical Center Physician Group | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Past | Accepting new patients |
Locations
500 University Dr
Hershey, PA 17033
Phone (717) 531-8181
Organizations & group practices 4
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.
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- NPI 1346215928
-
- Clinical Psychologist
- Hershey, PA
- NPI 1558336560
-
dba Crisis Support and Recovery Center
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452038400000",
"number": "1780657395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 858",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170330858",
"telephone_number": "717-531-7010",
"fax_number": "717-531-7102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 OLD WEST CHOCOLATE AVE, STE 101",
"address_2": "PENN STATE HERSHEY PHYSICAL MEDICINE & REHABILITATION",
"city": "HUMMELSTOWN",
"state": "PA",
"postal_code": "17036",
"telephone_number": "717-531-7010",
"fax_number": "717-531-7102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "MARIA",
"middle_name": "T",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2016-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS017978",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WV",
"license": "826",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00109680",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP #",
"identifier": "CA7344",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9203052000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hummelstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.