Active NPI
Jessica E Moe, PSY.D.
- Psychologist
- Palm Beach Gardens, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY9142
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| PY9142 | FL | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Psychological Services of the Palm Beaches, LLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Palm Beach Gardens, FL
- NPI 1841703592
-
- Clinical Psychologist
- Palm Beach Gardens, FL
- NPI 1104450642
-
- Clinical Social Worker
- Jupiter, FL
- NPI 1154678688
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.