Michelle Moran MD PC

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

MD 39135 Issued in CO

Legal business name

MICHELLE MORAN MD PC

Practice address

716 N Tejon St
Ste 4
Colorado Springs, CO 80903-1012

Phone

(719) 328-9653

Fax

(719) 328-9738

NPI assigned

Nov 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Ruth Moran, M.D.NPI 1336230911

Title

President

Phone

(719) 328-9653

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Ruth Moran, MD

  • Behavioral Neurology & Neuropsychiatry Physician
  • Saint George, UT
  • NPI 1336230911
  NPD (past) Authorized official

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

{
    "created_epoch": "1195344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1982885976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38969",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809378969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 N TEJON ST",
            "address_2": "STE 4",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031012",
            "telephone_number": "719-328-9653",
            "fax_number": "719-328-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE MORAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-18",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-328-9653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "CO",
            "license": "MD 39135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10686045",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Michealson, PA
• Frederick H Michel, MD
• Cheyenne Micheliza Arlint
• Michelle and Glenn Vrooman LLC
• Michelle L Haman DDS, P.C.
• Fiona Michelli
• Tegan Michl, PSYD
• Stephanie Micklich, PT, DPT
• Lucie Middleton, CSFA
• Sara Jean Middleton, COTA/L

• Prescribing (Medical) Psychologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Prescribing (Medical) Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.