Active NPI
Brian Moran, PSYD
- Clinical Psychologist
- Spring House, PA
National Provider Identifier
1821570243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS018594
- Practice address
- 1121 N Bethlehem Pike
Ste 60, #219
Spring House, PA 19477-1102 - Phone
- (215) 532-5024
- NPI assigned
- Sep 1, 2018
- Last updated
- May 10, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS018594 | PA | Primary |
Addresses
Primary practice location
1121 N Bethlehem Pike
Ste 60, #219
Spring House, PA 19477-1102
Mailing address
1121 N Bethlehem Pike
Ste 60, #219
Spring House, PA 19477-1102
Phone (215) 532-5024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 9, 2020 through Mar 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS018594 | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715299200000",
"number": "1821570243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 N BETHLEHEM PIKE",
"address_2": "STE 60, #219",
"city": "SPRING HOUSE",
"state": "PA",
"postal_code": "194771102",
"telephone_number": "215-532-5024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 N BETHLEHEM PIKE",
"address_2": "STE 60, #219",
"city": "SPRING HOUSE",
"state": "PA",
"postal_code": "194771102",
"telephone_number": "215-532-5024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-01",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS018594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring House, PA
- John A McVan IV
- Med-Tec Transport, Inc.
- Melvyn a. Wolf MDPC
- Terry L Merkle, R.PH.
- Jennifer Ann Minnick, OD
- Muldoon-Fitz Enterprises Inc (Village Pharmacy at Springhouse)
- Muldoon-Fitz Enterprises Inc (Village Pharmacy at Springhouse)
- Tauseef Mutwahir, DMD
- Namaste Rehab Clinics LLC (FYZICAL Therapy and Balance Centers)
- Barry Kenneth Nelson, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.