NICHOLAS M MOORE (NPI# 1336795509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336795509 |
| Entity Type | Individual |
| Full Name | NICHOLAS M MOORE |
| Credential | PSYD |
| Practice Address |
1848 Se 1st Ave Fort Lauderdale FL 33316-2875 |
| Practice Telephone | 9548859500 |
| Mailing Telephone | 9548559500 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2020-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PY10540 | FL | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
NJDCATEMP-001265 | NJ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1848 Se 1st Ave, Fort Lauderdale, FL 333162875 | 9548859500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265042691 | Nicholas Antonio Moore | Pharmacist | 604 Cherry Dr, Fairview Heights, IL 62208-2846 | 2020-07-31 |
| 1073017679 | Nicholas M Moore | Spec/Tech, Pathology | 1653 W Congress Pkwy Ste 1173, Chicago, IL 60612-3833 | 2018-03-20 |
| 1265727556 | Nicholas Jay Moore | Family Medicine | 26850 Providence Pkwy Ste 260, Novi, MI 48374-1256 | 2011-06-14 |
| 1417905092 | Nicholas J.e. Moore | Radiology | 1390 Kelly Johnson Blvd, Colorado Springs, CO 80920-3908 | 2006-05-05 |
| 1093339491 | Nicholas Simms Moore | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Boston, MA 02215-5491 | 2020-06-01 |
| 1396372868 | Nicholas Lawrence Moore | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2020-03-25 |
| 1013550383 | Nicholas Moore | Nurse Anesthetist, Certified Registered | 9333 Imperial Hwy, Downey, CA 90242-2812 | 2019-10-19 |
| 1225695703 | Nicholas Jay Moore | Dentist | 440 E Tampa St, Springfield, MO 65806-1131 | 2019-05-21 |
| 1467017343 | Nicholas Maximilian Moore | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St, Richmond, VA 23298-5051 | 2019-05-06 |
| 1811421258 | Nicholas Moore | Student in an Organized Health Care Education/Training Program | 9333 Park West Blvd, Suite 102, Knoxville, TN 37923-4341 | 2017-04-12 |
| Street Address |
1848 SE 1ST AVE |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-2875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083691406 | Cynthia Torres Williams | Psychologist | 1848 Se 1st Ave, Fort Lauderdale, FL 33316-2875 | 2005-12-28 |
| 1497354146 | Ariella Bloch | Social Worker | 1848 Se 1st Ave, Fort Lauderdale, FL 33316-2875 | 2020-10-23 |
| 1194324822 | Ann Voorhees | Social Worker | 1848 Se 1st Ave, Fort Lauderdale, FL 33316-2875 | 2020-10-23 |
| 1346856549 | Lauren Jeffers | Psychologist | 1848 Se 1st Ave, Fort Lauderdale, FL 33316-2875 | 2020-09-22 |
| 1750996013 | Ernestine Lambert | Social Worker | 1848 Se 1st Ave, Fort Lauderdale, FL 33316-2875 | 2020-09-14 |
| 1194344564 | Mental Health Solutions of South Florida Pa | Counselor | 1848 Se 1st Ave, Fort Lauderdale, FL 33316-2875 | 2020-04-15 |
| 1205455672 | South Florida Mental Health Solutions Pa | Counselor | 1848 Se 1st Ave, Fort Lauderdale, FL 33316-2875 | 2020-04-15 |
| 1013542166 | Carl Philippe Pierre Paul | Psychologist | 1848 Se 1st Ave, Fort Lauderdale, FL 33316-2875 | 2020-03-10 |
| 1356981609 | George Farid Moussa | Psychologist | 1848 Se 1st Ave, Fort Lauderdale, FL 33316-2875 | 2020-01-14 |
| 1104462647 | Jose Raphael Gonzalez | Counselor | 1848 Se 1st Ave, Fort Lauderdale, FL 33316-2875 | 2019-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578180154 | Lory Jean Reyes | Psychologist | 1180 N Federal Hwy Ph 1608, Fort Lauderdale, FL 33304-1470 | 2020-06-30 |
| 1508483355 | Elizabeth Levin | Psychologist | 3250 Ne 28th St Apt 303, Fort Lauderdale, FL 33308-7446 | 2020-06-27 |
| 1033601653 | Neuro Intergration LLC | Psychologist | 2500 N Federal Hwy Ste 100, Fort Lauderdale, FL 33305 | 2018-05-30 |
| 1679001465 | Ainsley Kennard | Psychologist | 1975 E Sunrise Blvd Ste 511, Fort Lauderdale, FL 33304-1409 | 2017-05-24 |
| 1508308511 | Marcela Mejia | Psychologist | 2425 E Commercial Blvd Ste 405, Fort Lauderdale, FL 33308-4029 | 2016-11-08 |
| 1083087456 | Kelley Gill | Psychologist | 1752 Nw 3rd Ter, #213, Fort Lauderdale, FL 33311-4885 | 2015-11-07 |
| 1881090660 | Tara Zuckerman | Psychologist | 1501 Ne 4th Avenue, Fort Lauderdale, FL 33304 | 2014-11-06 |
| 1679974877 | Jennifer Ellen Ackrish | Psychologist | 915 Middle River Dr Ste 410, Fort Lauderdale, FL 33304-3561 | 2014-09-08 |
| 1629410915 | Jessie Jenny Alfin | Psychologist | 1400 Nw 14th Ct, Fort Lauderdale, FL 33311-5426 | 2013-07-27 |
| 1366796435 | Heather Robinson Violante | Psychologist | 2419 E Commercial Blvd Ste 203, Fort Lauderdale, FL 33308-4042 | 2012-10-29 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
Please comment or provide details below to improve the information on NICHOLAS M MOORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.