Richard H Moore, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

573 Issued in KS

Practice address

10222 W Central Ave
Suite 202
Wichita, KS 67212-4613

Phone

(316) 773-9525

Fax

(316) 773-2012

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952412314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9261",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672770261",
            "telephone_number": "316-773-9525",
            "fax_number": "316-773-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10222 W CENTRAL AVE",
            "address_2": "SUITE 202",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124613",
            "telephone_number": "316-773-9525",
            "fax_number": "316-773-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "RICHARD",
        "middle_name": "H",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Justin Moore, ARNP
• Michelle Moore
• Olivia Moore
• Rhonda Kay Moore
• Richard Moore
• Robin Moore, LMLP-T
• Rochelle Marie Moore
• Roland Mike Moore, PHARM'D
• Shelby Kay Moore, RN
• Shonda L Moore, LSCSW

• Clinical Psychologist in Wichita, KS
• Providers in Wichita, KS by specialty
• Clinical Psychologist in Kansas

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.