CRAIG L MOORE (NPI# 1598832768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598832768 |
| Entity Type | Individual |
| Full Name | CRAIG L MOORE |
| Credential | PHD |
| Practice Address |
206 Pine Tree Rd. Longview TX 75604-4104 |
| Mailing Address |
206 Pine Tree Rd Longview TX 75604-4104 |
| Practice Telephone | 9037591145 |
| Practice Fax Number | 9037591170 |
| Mailing Telephone | 9037591145 |
| Mailing Fax Number | 9037591170 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 216424 | TX | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 30640 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 00FJ95 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700942786 | Craig K Moore | Family Medicine | 1401 6th St, Bellingham, WA 98225-7365 | 2006-12-28 |
| 1467411645 | Craig Beaty Moore | Family Medicine | 125 North Broadway, Hobart, OK 73651 | 2006-03-17 |
| 1669083069 | Craig Allen Moore | Massage Therapist | 21860 Willamette Dr, West Linn, OR 97068-3256 | 2020-08-11 |
| 1518211408 | Craig M Moore | Specialist/Technologist, Other | 7451 Chapel Ave, Fort Worth, TX 76116-7090 | 2012-10-31 |
| 1710996202 | Craig Cowan Moore | Internal Medicine | 90 Hospital Dr, Brevard, NC 28712 | 2006-08-05 |
| 1447279716 | Craig R Moore | Radiology | 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | 2006-07-18 |
| 1487622940 | Craig Alan Moore | Dentist | 4441 Service Drive, Hqs, Usa Dentac, Ft Hood, TX 76544-5054 | 2006-03-10 |
| Street Address |
206 PINE TREE RD. |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75604-4104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962972521 | Samantha Chanee Snorton | Registered Nurse | 136 Jester Circle, Longivew, TX 75604 | 2018-11-27 |
| 1194222570 | Sns House of Care, Inc. | Hospice Care, Community Based | 3549 Gilmer Rd Ste I, Longview, TX 75604 | 2018-04-11 |
| 1891233987 | Danielle Heard | Nutritionist | 1605 Glenrose St, Longview, TX 75604 | 2017-02-08 |
| 1932554110 | Nec Longview Emergency Center, Lp | Clinic/Center | 1801 W. Loop 281, Longview, TX 75604 | 2016-04-26 |
| 1972937316 | Tricia G. Green | Clinical Nurse Specialist | 907 Kincaid Pl, Longview, TX 75604 | 2013-08-21 |
| 1457601817 | Sherri Nussbaum | Counselor | 3400 West Marshall Suite 309, Austin Bank Building, Longview, TX 75604 | 2012-09-13 |
| 1992061691 | Chelsea Carson Schulz | Dietitian, Registered | 6206 Iola Ave, Suite 109, Lubbock, TX 75604 | 2012-04-06 |
| 1699006312 | Bell2bell, LLC | Community/Behavioral Health | 1809 Nw Loop 281, Suite 107, Longview, TX 75604 | 2010-01-20 |
| 1255668901 | David M Vaughan | Pharmacist | 1778 W Loop 281, Longview, TX 75604 | 2009-11-17 |
| 1457587099 | David S. Risner Jr. | Ophthalmology | 2394 H G Mosley Parkway, Longview, TX 75604 | 2009-06-10 |
| Find all providers in zip 75604 | ||||
| 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 |
|---|---|---|---|---|
| 1437624525 | Chesley Rambin Knowles | Psychologist | 1101 Yates Dr, Longview, TX 75601-4666 | 2018-10-04 |
| 1700321148 | Sarah Kranz | Psychologist | 1125 Judson Rd Ste 114, Longview, TX 75601-5120 | 2016-12-20 |
| 1811197080 | Winsted Psychological Services, Pllc | Psychologist | 414 N Green Street, Longview, TX 75601 | 2007-07-24 |
| 1689887465 | Jeanne Swanson Fleming | Psychologist | 783 Commerce Avenue, 200, Longview, WA 98632-2490 | 2007-05-08 |
| 1679623318 | Donald Eugene Winsted IIi | Psychologist | 1705 Judson Rd, Suite 103-a, Longview, TX 75601-2938 | 2007-01-12 |
| 1225149032 | Gary Michael Sampson | Psychologist | 945 11th Avenue, Longview, WA 98632 | 2006-08-31 |
| 1245341072 | Sunshine Elisabeth Clark | Psychologist | 1516 Hudson St Ste 204, Longview, WA 98632 | 2006-08-31 |
| 1801809777 | Arlis Gale Wood | Psychologist | 1201 W Loop 281, Suite 501, Longview, TX 75604-2937 | 2006-08-14 |
| 1275540056 | Carol A. Grothues | Psychologist | 911 W Loop 281, Suite 302, Longview, TX 75604-2900 | 2006-08-02 |
| 1265416820 | Pamela Elin Kurthy | Psychologist | 1339 Commerce Ave, Ste 310d, Longview, WA 98632-3738 | 2005-12-06 |
| Find all providers in LONGVIEW | ||||
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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.