David Paul Gureasko Moore, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

015968 Issued in NY

Practice address

2505 Carmel Ave Suite 210
SLS Residential Inc
Brewster, NY 10509

Phone

(845) 721-7262

Fax

(845) 279-7678

NPI assigned

Apr 30, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• SLS Residential Inc

  • Psychiatric Residential Treatment Facility
  • Brewster, NY
  • NPI 1780725069
  NPD (past)

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972723013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 CARMEL AVE SUITE 210",
            "address_2": "SLS RESIDENTIAL INC",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "10509",
            "telephone_number": "845-721-7262",
            "fax_number": "845-279-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 CARMEL AVE SUITE 210",
            "address_2": "SLS RESIDENTIAL INC",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "10509",
            "telephone_number": "845-721-7262",
            "fax_number": "845-279-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUREASKO MOORE",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "015968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick J. Grippo, D.P.M.
• Johanna Groepl, L.M.F.T.
• Kristie Guarino, FNP
• Amanda Guarracina, CCC-SLP
• Michele Gunnison, RD,CDN
• Rachel Ann Gutterman-Gerstman, M. A.
• Jeffrey L Halaas, MD
• Lindsay Amanda Hammond, MSED
• Health Caregivers LLC
• Health Quest Medical Practice, PC

• Psychologist in Brewster, NY
• Providers in Brewster, NY by specialty
• Psychologist in New York

• 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.