DR. MARK MOORE (NPI# 1669690905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669690905 |
| Entity Type | Individual |
| Full Name | DR. MARK MOORE |
| Credential | PHD |
| Practice Address |
230 W Washington Sq 2nd Floor Philadelphia PA 19106-3500 |
| Practice Telephone | 2158296088 |
| Practice Fax Number | 2158296104 |
| Mailing Telephone | 2158296088 |
| Mailing Fax Number | 2158296104 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
PS015627 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073031019 | Mark Daniel Moore | Psychologist | 100 Miner St, Crescent City, IL 60928-8092 | 2017-08-30 |
| 1114462017 | Mark Christopher Moore | Anesthesiologist Assistant | 8000 E Maplewood Ave Bldg 5, Ste. 200, Greenwood Village, CO 80111-4766 | 2016-12-30 |
| 1699981183 | Mark Wayne Moore | Dentist | 2301 12th St, Meridian, MS 39301-3934 | 2007-05-14 |
| 1588747588 | Mark W Moore | Physical Therapist | 6036 N 19th Ave Ste 303, Phoenix, AZ 85015 | 2006-10-23 |
| 1346338530 | Mark Douglas Moore | Optometrist | 2020 N Tyler Rd Ste 124, Wichita, KS 67212-4916 | 2006-10-11 |
| 1730289935 | Mark Edward Moore | Optometrist | 3333 S Crater Rd Ste 2d, Petersburg, VA 23805-9276 | 2006-09-25 |
| 1043328800 | Mark D Moore | Optometrist | 504 Peterson Ave S, Douglas, GA 31533-5254 | 2006-08-29 |
| 1104934462 | Mark Stephen Moore | Dentist | 5501 Matlock Rd, Arlington, TX 76018-1534 | 2006-08-28 |
| 1225022833 | Mark Phillip Moore | Dentist | 2048 Windward Ln, Gainesville, GA 30501-7418 | 2005-09-09 |
| 1710527130 | Mark Moore | Community Health Worker | 1114 Lane 12, Lovell, WY 82431-9555 | 2020-01-14 |
| Street Address |
230 W WASHINGTON SQ 2ND FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19106-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003814807 | Kwabena Adu Ntoso | Internal Medicine | 230 W Washington Sq, Suite 100, Philadelphia, PA 19106-3500 | 2005-07-14 |
| 1003434697 | Melissa Heller | Counselor | 230 W Washington Sq, Philadelphia, PA 19106-3585 | 2020-07-09 |
| 1366085672 | Allison Danielle Hart | Physical Therapist | 230 W Washington Sq, Philadelphia, PA 19106-3585 | 2019-10-21 |
| 1932754397 | Joseph Marino Gigliotti | Physical Therapist | 230 W Washington Sq, Philadelphia, PA 19106-3585 | 2019-08-02 |
| 1912461047 | Marianne Louie Englander | Nurse Practitioner | 230 W Washington Sq, 2nd Fl, Philadelphia, PA 19106-3500 | 2019-01-23 |
| 1881173136 | Kendra Lee | Nurse Practitioner | 230 W Washington Sq, Fl 3, Philadelphia, PA 19106-3500 | 2018-08-08 |
| 1255847976 | Samantha Pluy | Nurse Practitioner | 230 W Washington Sq, Philadelphia, PA 19106-3585 | 2017-12-18 |
| 1841711355 | Taylor Jane Apostolico | Genetic Counselor, MS | 230 W Washington Sq, Philadelphia, PA 19106-3585 | 2017-07-06 |
| 1609315084 | Alyssa Ellen Guerrero | Physician Assistant | 230 W Washington Sq, 5th Floor, Philadelphia, PA 19106-3585 | 2017-02-17 |
| 1215472378 | Jjl&w Inc. T/a Komfort & Kare | Durable Medical Equipment & Medical Supplies | 230 W Washington Sq, 5th Floor, Philadelphia, PA 19106-3585 | 2016-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807245 | Jaclyn Isis Lisberger | Speech-Language Pathologist | 130 North 2nd Street-#2e, Philadelphia, PA 19106 | 2020-09-29 |
| 1356964159 | Michelle Copija | Nurse Anesthetist, Certified Registered | Society Hill Anesthesia Consultants, P.C., 301 S. 8th St Suite 2l, Philadelphia, PA 19106 | 2020-05-27 |
| 1811468929 | Old City Orthodontics LLC | Clinic/Center | 14 S 3rd Street, 1st Floor, Philadelphia, PA 19106 | 2018-12-16 |
| 1437627569 | Peter James Voystock | Social Worker | Veterans' Multi-service Center, 2nd Floor, 213-217 N 4th St, Philadelphia, PA 19106 | 2018-11-07 |
| 1467975334 | Aasiyah's Inc | Nurse's Aide | 325-41 Chestnut Street Suite 800, Suite 800, Philadelphia, PA 19106 | 2017-07-21 |
| 1457883043 | Jackie Kurland | Registered Nurse | 301 S 8th St Ste 2l, Philadelphia, PA 19106 | 2017-04-01 |
| 1669851655 | Amy Hardenbergh | Nurse Anesthetist, Certified Registered | 325 Chestnut Street, Suite 210, Society Hill Anesthesia Consultants, Philadelphia, PA 19106 | 2015-05-22 |
| 1790178820 | Bita Khoshrou | Dentist | 604 S Washington Square, Philadelphia, PA 19106 | 2015-03-13 |
| 1144667262 | Krystal Maloni | Surgery | 700 Spruce St Ste 101, Philadelphia, PA 19106 | 2013-05-30 |
| 1487099305 | Aimee E Wood | Social Worker | 233 South 6th St, Suite C33, Philadelphia, PA 19106 | 2013-05-06 |
| Find all providers in zip 19106 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679814891 | Garg Behavioral Health, PC | Psychologist | 702 Autumn River Run, Philadelphia, PA 19128-4359 | 2013-03-13 |
| 1174735518 | Nemesia G. Castro | Psychologist | 4301 Rising Sun Ave, Philadelphia, PA 19140-2719 | 2007-05-06 |
| 1316166226 | Cory De Torres | Psychologist | 2129 Spring Garden St, Philadelphia, PA 19130-3503 | 2007-04-25 |
| 1518155233 | David L Buch Md PC | Psychologist | 822 Pine St, Suite 1a, Philadelphia, PA 19107-6187 | 2007-10-09 |
| 1720200926 | Richard Alan Mufson | Psychologist | 4519 N 5th St, Philadelphia, PA 19140-2309 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104261213 | Rose Resiliency Center | Psychologist | 2557 Route 940, Suite 102, Pocono Summit, PA 18346 | 2013-05-02 |
| 1871868240 | William Patrick Fowler | Psychologist | 190 Presidential Blvd Unit 510, Bala Cynwyd, PA 19004-1159 | 2012-03-18 |
| 1053649178 | Second Haven Services for Youth Inc. | Psychologist | 633 Lakeside Dr, Tobyhanna, PA 18466-9792 | 2009-12-01 |
| 1831311687 | Feliks Shapiro | Psychologist | 1631 Rockcress Dr, Jamison, PA 18929-1646 | 2007-05-02 |
| 1497973911 | Judith Temple Jackson | Psychologist | 125 Coulter Ave, Floor 2, Ardmore, PA 19003-2410 | 2007-04-22 |
| 1457740797 | The Center for Allied Psychiatry & Psychology Services | Psychologist | 404 E High St, Pottstown, PA 19464-5622 | 2015-01-09 |
| 1114253770 | Bbh, LLC | Psychologist | 70 2nd St, Brookville, PA 15825-1556 | 2009-11-02 |
| 1902057045 | Baron T. Denniston M.d. | Psychologist | 150 E 8th St, Erie, PA 16501-1269 | 2008-10-07 |
| 1174773451 | Charles P. Gallo | Psychologist | 2550 Mosside Blvd, Suite 304, Monroeville, PA 15146-3540 | 2008-09-24 |
| 1215139399 | Karen Ann Staab | Psychologist | 3740 W 26th St, Erie, PA 16506-2039 | 2007-06-01 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19106 |
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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.