Individual provider Active NPI

Janet L Moore, PSY.D.

  • Psychologist
  • Media, PA
National Provider Identifier
1801140686
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS015313 Issued in PA
Practice address
333 W Baltimore Ave
Media, PA 19063-2609
Phone
(484) 686-6630
NPI assigned
Nov 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS015313 PA Primary

Addresses

Primary practice location

333 W Baltimore Ave
Media, PA 19063-2609

Mailing address

333 W Baltimore Ave
Media, PA 19063-2609
Phone (484) 686-6630

Other practice location 1

205 Grayling Ave
Narberth, PA 19072-1903
Phone (484) 686-6630

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161006000852 PA Practitioner - Clinical Psychologist 8921396904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

333 W Baltimore Ave
Media, PA 19063-2609
Phone (484) 686-6630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jmoore Counseling Services, LLC CurrentSince Jul 25, 2021 Accepting new patients
Jmoore Counseling Services Psychologist CurrentSince Apr 1, 2025 Accepting new patients
Interface Psych Services, Inc Past Accepting new patients

Locations

205 Grayling Ave
Narberth, PA 19072
Phone (484) 686-6630

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1801140686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W BALTIMORE AVE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632609",
            "telephone_number": "484-686-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W BALTIMORE AVE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632609",
            "telephone_number": "484-686-6630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Grayling Ave",
            "address_purpose": "LOCATION",
            "city": "Narberth",
            "state": "PA",
            "postal_code": "190721903",
            "country_code": "US",
            "telephone_number": "484-686-6630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JANET",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-01",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS015313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.