Melinda Moore, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

129939 Issued in KY

Practice address

144 E Lowry LN
Lexington, KY 40503-2403

Phone

(703) 220-9252

NPI assigned

Jun 19, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1801412424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 E LOWRY LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032403",
            "telephone_number": "703-220-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 E LOWRY LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032403",
            "telephone_number": "703-220-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "MELINDA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "129939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@melindamoorephd.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "144 E Lowry Ln",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405032403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelly King Moore, MS, OTR/L
• Kelly N Moore, MSSW, LCSW
• Laura Moore, LPCC
• Lillian Mae Moore
• Melanie Moore
• Nicholas Wheeler Moore, MD
• Patricia Farley Moore, M.A.E.
• Quentin Moore, ARNP
• Robert Moore, MSW, LCSW
• Robert Cole Moore

• Clinical Psychologist in Lexington, KY
• Providers in Lexington, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.