Moran Gottesman, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS016578 Issued in PA

Practice address

1200 Old York Rd
Suite 101
Warminster, PA 18974-2013

Phone

(215) 394-8625

Fax

(215) 933-6898

NPI assigned

Mar 26, 2007

Last updated

Dec 7, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Moran Shenkar Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Liv Well Associates IncGroup PAC ID 6002060332, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Liv Associates, Inc.

  • Psychologist
  • Warminster, PA
  • NPI 1467704650
  Medicare reassignment Care Compare group Authorized official
• Liv Well Associates

  • Mental Health Counselor
  • Warminster, PA
  • NPI 1548615545
  NPD (past) Authorized official

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1952429409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD",
            "address_2": "SUITE 101",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742013",
            "telephone_number": "215-394-8625",
            "fax_number": "215-933-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD",
            "address_2": "SUITE 101",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742013",
            "telephone_number": "215-394-8625",
            "fax_number": "215-933-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTESMAN",
        "first_name": "MORAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORAN",
            "last_name": "SHENKAR",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Scott Goodman, MD
• Krishna D Gorasiya
• Julianne Gorge
• Jack B. Gorman, DPM
• Vardhana Goswami, M.D.
• Carol Ann Gouger, OD
• Anna Grasela
• Greco Family Chiropractic
• Joseph Anthony Greco, DC
• Greenacres Health Systems

• Psychologist in Warminster, PA
• Providers in Warminster, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.

Verify at the official NPI Registry.