Brendanmoor Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BRENDANMOOR THERAPY LLC

Practice address

451 Roxborough Ave
Philadelphia, PA 19128-3536

Phone

(267) 258-1027

NPI assigned

Sep 26, 2024

Organization subpart

No

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

Authorized official

Name

Derik Brendan Moore, LCSWNPI 1528490877

Title

Owner/Psychotherapist

Phone

(267) 258-1027

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derik Moore

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1528490877

  Clinical, PA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1831916162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 ROXBOROUGH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191283536",
            "telephone_number": "267-258-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 ROXBOROUGH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191283536",
            "telephone_number": "267-258-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDANMOOR THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DERIK",
        "authorized_official_middle_name": "BRENDAN",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "267-258-1027",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Ann Bremerman, FNP-BC
• Praneeta Bremjit, MD
• Daphne Bremner, REGISTERED NURSE
• Remy Bremner, MD
• Robert John Brenchak, M.D.
• Erica M Brendel, MD
• Katelyn Brendel, DO
• Beau Charles Brendley, PSY D
• Jose Reynaldo Brenes
• Scott A Brenman, MD

• All providers in Philadelphia, PA
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.