MOORE PSYCHOLOGICAL SERVICES, PLLC (NPI# 1518453521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518453521 |
| Entity Type | Organization |
| Organization Name | MOORE PSYCHOLOGICAL SERVICES, PLLC |
| Practice Address |
1908 West 21st Street Clovis NM 88101 |
| Mailing Address |
609 Providence Cir Clovis NM 88101-1083 |
| Practice Telephone | 5757601535 |
| Practice Fax Number | 8005612091 |
| Mailing Telephone | 5757601535 |
| Mailing Fax Number | 8005612091 |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |
| Authorized Official Name | DR. KARLEN BROOK MOORE (DIRECTOR/ OWNER) |
| Authorized Official Telephone | 5757601535 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | NM | Behavioral Health & Social Service Providers | |
| Y | 103T00000X | Psychologist | PSY1511 | NM | Behavioral Health & Social Service Providers |
| Street Address |
1908 WEST 21ST STREET |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| 1114395811 | Megan Hall | Counselor | 2700 East 7th St, Clovis, NM 88101 | 2015-09-11 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568610913 | Douglas Edward Hoehing | Psychologist | 1797 San Jose Ave, Clovis, CA 93611-3078 | 2008-08-28 |
| 1275521411 | Randall Robinson | Psychologist | 3128 Willow Ave, Suite 102, Clovis, CA 93612-4746 | 2005-10-12 |
| 1346479227 | Debra Lynn Anderson-winegarden | Psychologist | 106 Pollasky Ave Ste D, Clovis, CA 93612-1159 | 2009-07-13 |
| 1336261833 | Michael D. Zimmerman | Psychologist | 642 Pollasky Ave, Suite 210, Clovis, CA 93612-1875 | 2007-04-04 |
| 1649201500 | Lynette Eve Bassman | Psychologist | 255 W Bullard Ave, Ste 101, Clovis, CA 93612-0861 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042814 | Barbara Gormley | Psychologist | 501 N Roadrunner Pkwy Apt 1901, Las Cruces, NM 88011-2023 | 2020-10-26 |
| 1124637541 | Behavioral Medicine and Assessment of New Mexico LLC | Psychologist | 3520 Calle Cuervo Nw, Albuquerque, NM 87114-9220 | 2020-07-31 |
| 1932732351 | Leslie Ann Becerra | Psychologist | 110 Sheep Springs Ways, Jemez Pueblo, NM 87024-0279 | 2020-02-13 |
| 1891341996 | Chelsea Spraberry | Psychologist | 2600 College Blvd, 2nd Floor, Rio Rancho, NM 87144 | 2019-08-14 |
| 1194287649 | Jennifer Nicole Crawford | Psychologist | Msc09 5030 1 Unm, Albuquerque, NM 87131 | 2019-04-03 |
| 1417425083 | Meredith Lynn Faith | Psychologist | 11109 Elvin Ave Ne, Albuquerque, NM 87112-3231 | 2018-11-12 |
| 1942777982 | Nesha Morse Psyd Inc | Psychologist | 1010 Marquez Pl Ste D2, Santa Fe, NM 87505-1724 | 2018-10-29 |
| 1003341975 | Corey J Vas | Psychologist | 741 N Alameda Blvd Ste 6, Las Cruces, NM 88005-2172 | 2017-04-27 |
| 1194190181 | Hugh J. Hammant | Psychologist | 1307 Arnold Palmer Ct, Las Cruces, NM 88011-3902 | 2015-12-02 |
| 1255703401 | Stacey Goldstein-dwyer | Psychologist | 661 Quantum Rd Ne Ste 8, Rio Rancho, NM 87124-4505 | 2015-10-28 |
| Find all providers with the same taxonomy | ||||
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| 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.