Michele Ann Moore

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

3663 Pacific Ave
Livermore, CA 94550-7062

Phone

(925) 449-5845

Fax

(925) 449-2684

NPI assigned

Aug 20, 2012

Last updated

Aug 20, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Tri Valley Haven for Women

  • Community/Behavioral Health Agency
  • Livermore, CA
  • NPI 1790979284
  NPD (past)

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345420800000",
    "number": "1780932921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 PACIFIC AVE",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945507062",
            "telephone_number": "925-449-5845",
            "fax_number": "925-449-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 PACIFIC AVE",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945507062",
            "telephone_number": "925-449-5845",
            "fax_number": "925-449-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MICHELE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-20",
        "last_updated": "2012-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Maria Montiel, FNP
• Heather Moog
• Lori Moon
• Melissa Marie Moore Jessop, O.D.
• James Michael Moore, RPH
• Terrence John Moore, PT
• Thomas Joseph Mora, DC
• Michelle Elizabeth Morales, OD
• Socorro Moreland
• Traci Mori

• Marriage & Family Therapist in Livermore, CA
• Providers in Livermore, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.