NPIMap

Organization Active NPI

Marcia S. Moore, PH.D., PLC

  • Psychologist
  • Oklahoma City, OK
National Provider Identifier
1811214190
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
415 Issued in OK
Legal business name
MARCIA S. MOORE, PH.D., PLC
Practice address
4140 W Memorial Rd
Ste. 221
Oklahoma City, OK 73120-8366
Phone
(405) 755-5801
Fax
(405) 755-5949
NPI assigned
Apr 27, 2010
Last updated
Apr 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Authorized official

Name
Dr. Marcia S. Moore, PH.D.NPI 1194739102
Title
Psychologist
Phone
(405) 755-5801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 415 OK Primary

Addresses

Primary practice location

4140 W Memorial Rd
Ste. 221
Oklahoma City, OK 73120-8366

Mailing address

4140 W Memorial Rd
Ste. 221
Oklahoma City, OK 73120-8366
Phone (405) 755-5801

Other identifiers 1

IdentifierTypeStateIssuer
1194739102OtherOKNPI INDIVIDUAL NUMBER

National Provider Directory

National Provider Directory

Locations

4140 W Memorial Rd
Ste 221
Oklahoma City, OK 73120
Phone (405) 755-5801

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1811214190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD",
            "address_2": "STE. 221",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208366",
            "telephone_number": "405-755-5801",
            "fax_number": "405-755-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD",
            "address_2": "STE. 221",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208366",
            "telephone_number": "405-755-5801",
            "fax_number": "405-755-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCIA S. MOORE, PH.D., PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "405-755-5801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OK",
            "license": "415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL NUMBER",
            "identifier": "1194739102",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.