Daniel Moore, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

33-545 Issued in MS

Practice address

103 S 19TH Ave
Hattiesburg, MS 39401-6171

Phone

(601) 544-4641

Fax

(601) 584-4053

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Region 12 Commission on Mental Health and Retardation

  • Substance Abuse Rehabilitation Facility
  • Moselle, MS
  • NPI 1982612206
  NPD (past)
• Region XII Comm on Mental Health Dba Pine Belt Mental Healthcare

  • Developmentally Disabled Services Day Training Agency
  • Hattiesburg, MS
  • NPI 1689847394
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861400244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394031030",
            "telephone_number": "601-544-4641",
            "fax_number": "601-584-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S 19TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394016171",
            "telephone_number": "601-544-4641",
            "fax_number": "601-584-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MS",
            "license": "33-545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lexie Nicole Mooney
• Moore Chiropractic Clinic Hattiesburg PLLC
• Anna K Moore, PT
• Benjamin C Moore, M.D.
• Charles Robert Moore, MD
• David M Moore, DMD
• David S Moore, MD
• Haley Moore
• Janice Moore, LPC
• Jeremy Moore, CMHT

• Psychologist in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Psychologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.