Active NPIIndividual providerSole proprietor

Dr. Clifford Moore, PSYD, MA, MS

Specialist in Mountainside, New Jersey

NPI Number1790008720
Practice location
1152 Springfield Ave, Mountainside, NJ 07092
Fax
—
Last updated
November 17, 2018

Clifford Moore is a Specialist based in Mountainside, NJ. Clifford Moore practices in Mountainside, NJ and has the professional credentials of PSYD, MA, MS. The NPI Number for Clifford Moore is 1790008720 and holds a License No. 37PC00402500 (NJ). The current practice location address for Clifford Moore is 1152 Springfield Ave, Mountainside, NJ 07092 and can be reached out via phone at 973-489-3814.

Provider Profile Details

NPI Number
1790008720
Provider Name
Clifford Moore
Credential
PSYD, MA, MS
Provider Entity Type
Individual
Gender
Male
Address
1152 Springfield Ave, Mountainside, NJ 07092
Phone Number
973-489-3814
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
March 4, 2010
Last Update Date
November 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1152 Springfield Ave
Mountainside, NJ 07092
Zip
07092
Phone Number
973-489-3814
Mountainside, NJ 07092Get directions →

Provider Business Mailing Address Details

Address
1152 Springfield Ave
Mountainside, NJ 07092-2906
City
Mountainside
State
NJ
Zip
07092-2906
Phone Number
973-489-3814

License Information

License Number
37PC00402500
License State
NJ
Taxonomy
Specialist · 174400000X · 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. Clifford Moore, PSYD, MA, MS?

The NPI number of Dr. Clifford Moore, PSYD, MA, MS is 1790008720. It was assigned on March 4, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Clifford Moore, PSYD, MA, MS?

Dr. Clifford Moore, PSYD, MA, MS is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 37PC00402500.

Where does Dr. Clifford Moore, PSYD, MA, MS practice?

The practice location is 1152 Springfield Ave, Mountainside, NJ 07092. The office can be reached at 973-489-3814 (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 1790008720 directly on the NPPES registry website.

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