LINDA KAREN BURT MOORE (NPI# 1912997339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912997339 |
| Entity Type | Individual |
| Full Name | LINDA KAREN BURT MOORE |
| Other Name | LINDA B MOORE |
| Credential | ED.D. |
| Practice Address |
4555 Lake Shore Dr Waco TX 76710-1814 |
| Practice Telephone | 2547760400 |
| Practice Fax Number | 2547760637 |
| Mailing Telephone | 2547760400 |
| Mailing Fax Number | 2547760637 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2011-11-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 24997 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | SWL PROVIDER NUMBER | 119784100 | 01 |
| TX | CHIP PROVIDER NUMBER | 119210 | 01 |
| TX | 036135401 | 05 |
| Street Address |
4555 LAKE SHORE DR |
| City | WACO |
| State | TX |
| Zip Code | 76710-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699765008 | Harold H Lecrone Jr. | Psychologist | 4555 Lake Shore Dr, Waco, TX 76710-1814 | 2005-10-26 |
| 1033554837 | Est 400 of Waco LLC | Clinic/Center | 4555 Lake Shore Dr, Waco, TX 76710-1814 | 2013-05-07 |
| 1174860266 | Henry David Hardt Ph D | Clinic/Center | 4555 Lake Shore Dr, Waco, TX 76710-1814 | 2013-01-09 |
| 1558624270 | Kristi Lynn Cruthirds | Social Worker | 4555 Lake Shore Dr, Waco, TX 76710-1814 | 2012-06-18 |
| 1497011456 | Lake Shore Center for Behavioral Health, LLC | Clinic/Center | 4555 Lake Shore Dr, Waco, TX 76710-1814 | 2012-04-04 |
| 1841574209 | Kyna Baskin Lichtenstein | Social Worker | 4555 Lake Shore Dr, Waco, TX 76710-1814 | 2011-10-04 |
| 1164717393 | Diane Marie Forte | Counselor | 4555 Lake Shore Dr, Waco, TX 76710-1814 | 2011-06-15 |
| 1881989010 | Forte' Psychotherapy, Pllc | Counselor | 4555 Lake Shore Dr, Waco, TX 76710-1814 | 2011-06-15 |
| 1467599779 | Lake Shore Center for Psychological Services, P.C. | Counselor | 4555 Lake Shore Dr, Waco, TX 76710-1814 | 2007-01-30 |
| 1033109442 | Henry D Hardt | Counselor | 4555 Lake Shore Dr, Waco, TX 76710-1814 | 2005-10-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
| 1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
| 1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
| 1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
| 1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
| 1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
| 1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
| 1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
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| 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 |
|---|---|---|---|---|
| 1821571837 | Yvette Szabo | Psychologist | 4800 Memorial Dr Bldg 94, Waco, TX 76711-1329 | 2018-09-14 |
| 1881061950 | Melissa Switzer | Psychologist | 4221 Lake Shore Villa Dr, Waco, TX 76710-1445 | 2015-08-25 |
| 1619208048 | Li Wan | Psychologist | 1 Bear Pl Unit 97334, Dept. of Psychology, Waco, TX 76798-7334 | 2010-01-25 |
| 1447438320 | Julia M. Becker | Psychologist | 8414 Old Mcgregor Rd, Unit B, Waco, TX 76712-6496 | 2008-02-04 |
| 1518183946 | James Norman Shinder | Psychologist | 3925 Interstate 35 S, Waco, TX 76706-3710 | 2007-04-17 |
| 1134259476 | Tamara Lynn Hodges | Psychologist | 305 Londonderry, Ste 7, Waco, TX 76712-7906 | 2007-03-06 |
| 1043353758 | Mercy Chieza | Psychologist | 6515 Sanger Ave, Suite 2, Waco, TX 76710-7813 | 2007-02-14 |
| 1851440051 | Richard W. Brunn | Psychologist | 305 Londonderry Dr Ste 2, Waco, TX 76712-7906 | 2007-01-09 |
| 1649356031 | Keith Clements Warren | Psychologist | 5020 Lakeland Cir, Suite B, Waco, TX 76710-2996 | 2006-10-27 |
| 1972606317 | Constance Adler | Psychologist | 6501 Sanger, Waco, TX 76710 | 2006-09-07 |
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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.