Active NPIIndividual providerSole proprietor

Dr. Nicholas M Moore, PSYD

Psychologist, Clinical in Atco, New Jersey

NPI Number1336795509
Practice location
7 Brookview Dr, Atco, NJ 08004-2931
Fax
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Last updated
September 25, 2024

Nicholas M Moore is a Psychologist, Clinical based in Atco, NJ. Nicholas M Moore practices in Atco, NJ and has the professional credentials of PSYD. The NPI Number for Nicholas M Moore is 1336795509 and holds a License No. PY10540 (FL). The current practice location address for Nicholas M Moore is 7 Brookview Dr, Atco, NJ 08004-2931 and can be reached out via phone at 856-658-7653.

Provider Profile Details

NPI Number
1336795509
Provider Name
Nicholas M Moore
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
7 Brookview Dr, Atco, NJ 08004-2931
Phone Number
856-658-7653
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 14, 2019
Last Update Date
September 25, 2024
Certification Date
September 25, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
7 Brookview Dr
Atco, NJ 08004-2931
City
Atco
Zip
08004-2931
Phone Number
856-658-7653
Atco, NJ 08004Get directions →

Provider Business Mailing Address Details

Address
10000 Midlantic Dr Ste 101E
Mount Laurel, NJ 08054-1504
City
Mount Laurel
State
NJ
Zip
08054-1504
Phone Number
732-982-2888

License Information

License Number (1)
PY10540
License State (1)
FL
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
PS020137
License State (2)
PA
Taxonomy (2)
Psychologist, Clinical · 103TC0700X
License Number (3)
07284
License State (3)
MD
Taxonomy (3)
Psychologist, Clinical · 103TC0700X
License Number (4)
35SI00631200
License State (4)
NJ
Taxonomy (4)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Nicholas M Moore, PSYD?

The NPI number of Dr. Nicholas M Moore, PSYD is 1336795509. It was assigned on August 14, 2019 and is currently active in the NPPES registry.

What is the specialty of Dr. Nicholas M Moore, PSYD?

Dr. Nicholas M Moore, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in FL under license number PY10540.

Where does Dr. Nicholas M Moore, PSYD practice?

The practice location is 7 Brookview Dr, Atco, NJ 08004-2931. The office can be reached at 856-658-7653 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336795509 directly on the NPPES registry website.

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