Active NPI
Jamie M Moore, PSYD
- Clinical Psychologist
- Wiesbaden, DC
National Provider Identifier
1952537490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP5380
- Practice address
- Wiesbaden Army Health Clinic
Wiesbaden, DC 22060-6206 - Phone
- (314) 590-1518
- NPI assigned
- Jun 10, 2009
- Last updated
- Oct 24, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP5380 | MN | Primary |
Addresses
Primary practice location
Wiesbaden Army Health Clinic
Wiesbaden, DC 22060-6206
Mailing address
6050 Gorgas Rd
Fort Belvoir, VA 22060-6206
Other names 1
- Dr. Jamie M Lindberg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP5380 | MN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1952537490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6050 GORGAS RD",
"city": "FORT BELVOIR",
"state": "VA",
"postal_code": "220606206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WIESBADEN ARMY HEALTH CLINIC",
"city": "WIESBADEN",
"state": "DC",
"postal_code": "220606206",
"telephone_number": "314-590-1518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JAMIE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-10",
"last_updated": "2023-10-24",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP5380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "LINDBERG",
"middle_name": "M",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.