Individual provider Active NPI

Jessica E Moe, PSY.D.

  • Psychologist
  • Palm Beach Gardens, FL
National Provider Identifier
1831573609
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY9142 Issued in FL
Practice address
9121 N Military TRL
Suite 207
Palm Beach Gardens, FL 33410-5984
Phone
(561) 935-8905
NPI assigned
Jul 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY9142 FL Primary

Addresses

Primary practice location

9121 N Military TRL
Suite 207
Palm Beach Gardens, FL 33410-5984

Mailing address

9121 N Military TRL Ste 207
Palm Beach Gardens, FL 33410-5988
Phone (561) 935-8905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20180925000396 FL Practitioner - Clinical Psychologist 1456602846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

9121 N Military TRL
Suite 207
Palm Beach Gardens, FL 33410-5988
Phone (561) 935-8905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY9142FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Psychological Services of the Palm Beaches, LLC CurrentSince Oct 26, 2017 Accepting new patients
Comprehensive Mental Health Care Services Inc. Current Accepting new patients
New Hope Counseling Services LLC Past Accepting new patients

Locations

9121 N Military Trl
Ste 207
Palm Beach Gardens, FL 33410
Phone (561) 252-2374

8259 N Military Trl
Ste 13
West Palm Beach, FL 33410
Phone (561) 628-2352

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": "1436659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1831573609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 N MILITARY TRL STE 207",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105988",
            "telephone_number": "561-935-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9121 N MILITARY TRL",
            "address_2": "SUITE 207",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105984",
            "telephone_number": "561-935-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOE",
        "first_name": "JESSICA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-12",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY9142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.