Anne Berryman Moore, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2785 Issued in GA

Practice address

3372 Peachtree Rd NE Ste 115
Atlanta, GA 30326-1963

Phone

(719) 666-1785

NPI assigned

Jun 27, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Anne Berryman Moore Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1972348258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 BLUE STONE RD APT 308",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285906",
            "telephone_number": "404-513-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3372 PEACHTREE RD NE STE 115",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261963",
            "telephone_number": "719-666-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "ANNE",
        "middle_name": "BERRYMAN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "2785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "MOORE",
            "middle_name": "BERRYMAN",
            "credential": "PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alisa O Moore, D.D.S.
• Alison Moore, M.D
• Amber Monet Moore
• Andrew M Moore, AA-C
• Anna B Moore, PHD
• Anne L Moore, PSY.D.
• Armoni D Moore
• Ashby Malloy Moore, PA-C
• Ayjanah Rasheeda Sherie Moore, FNP- C, PMHNP-BC
• Bradley Bancroft Moore, M.D.

• Clinical Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.