DR. RICHARD DAVID MOON (NPI# 1942508734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942508734 |
| Entity Type | Individual |
| Full Name | DR. RICHARD DAVID MOON |
| Credential | PH.D. |
| Practice Address |
1106 North Ave Bridgeport CT 06604-2710 |
| Mailing Address |
4 Clinton Ter Westport CT 06880-6019 |
| Practice Telephone | 2035796131 |
| Mailing Telephone | 2032221192 |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 001589 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632371 | Richard Moon | Counselor | 2710 W Placita Mesa Alta, Tucson, AZ 85742-8736 | 2020-02-25 |
| 1043797723 | Richard Sloan Moon | Family Medicine | 202 W Caskey, Florence, TX 76527 | 2018-07-25 |
| 1639220833 | Richard T Moon | Dentist | 6712 N Mountello Dr, Peoria, IL 61614-2328 | 2007-01-15 |
| 1346405834 | Richard L. Moon | Psychiatry & Neurology | 6402 Odana Rd, Madison, WI 53719-1123 | 2008-07-23 |
| 1699893446 | Richard B Moon | Pharmacist | 863 Fairmount Ave, Jamestown, NY 14701-2521 | 2007-03-27 |
| 1396893210 | Richard Wonsub Moon | Internal Medicine | 4647 Zion Ave, San Diego, CA 92120-2507 | 2007-01-08 |
| 1760566657 | Richard Moon | Anesthesiology | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-10-25 |
| 1356336762 | Richard Hyung Sung Moon | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11 Nevins St, Brighton, MA 02135-3514 | 2005-09-13 |
| Street Address |
1106 NORTH AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06604-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063548899 | Reginald Anthony Hoffler | Psychiatry & Neurology | 1106 North Ave, Bridgeport, CT 06604-2710 | 2007-02-26 |
| 1124323878 | Lee Siuzdak | Nurse Practitioner | 1106 North Ave, Bridgeport, CT 06604 | 2011-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780163246 | Jill K Bebey | Pharmacist | 564 A Park Ave, Bridgeport, CT 06604 | 2018-08-07 |
| 1538663430 | Ryan Attar | Naturopath | 129 Columbia St, Bridgeport, CT 06604 | 2018-03-23 |
| 1487153375 | Fe Y Esperanza Home Care Services | Home Health | 2032 Main Street, Bridgeport, CT 06604 | 2018-02-06 |
| 1013423466 | Va.lu Able Home Care LLC | Registered Nurse | 1000 Lafayette Boulvard, Bridgeport, CT 06604 | 2017-12-21 |
| 1679970172 | Aarti Jawa | Dentist | 594 Pequonnoack Street, Bridgeport, CT 06604 | 2014-11-26 |
| 1932521473 | Anthony Santostefano | Dentist | 594 Pequonnock Street, Bridgeport, CT 06604 | 2014-01-18 |
| 1699011536 | Vanessa Frances Doyle | Naturopath | 115 Broad Street, C/o Center of Excellence, Bridgeport, CT 06604 | 2012-12-21 |
| 1942463302 | Joanna Conte Mcgary | Naturopath | 60 Lafayette Street, Naturopathic Medical Center University of Bridgeport, Bridgeport, CT 06604 | 2008-07-07 |
| 1346415221 | Jenna Lyn Blasi | Naturopath | 60 Lafayette, University of Bridgeport College of Naturopathic Medici, Bridgeport, CT 06604 | 2008-04-23 |
| 1275704462 | Watermark 3030 Park LLC | Skilled Nursing Facility | 3030 Park Ave, Bridgeport, CT 06604 | 2008-03-17 |
| Find all providers in zip 06604 | ||||
| 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 |
|---|---|---|---|---|
| 1891826517 | Adrienne A Bean | Psychologist | 114 Thompson Dr, Bridgeport, WV 26330-1644 | 2007-03-07 |
| 1225172786 | Harry Adamakos | Psychologist | 2157 North Ave, Bridgeport, CT 06604-2401 | 2007-02-17 |
| 1669528774 | Elba Iris Crespo | Psychologist | 77 Eric St, Bridgeport, CT 06606-3118 | 2007-01-25 |
| 1649382854 | Robert Steven Colen | Psychologist | 1635 Central Avenue, Room 213 Southwest Ct Mental Health System, Bridgeport, CT 06610 | 2006-09-01 |
| 1104803576 | Narine Karakashian | Psychologist | 114 Ventura Dr, Bridgeport, WV 26330-1380 | 2005-12-28 |
| 1043295850 | Annemarie Theresa Murphy | Psychologist | 1057 Broad St, Third Floor, Bridgeport, CT 06604-4219 | 2005-12-14 |
| 1770080186 | Liam Patrick Condon | Psychologist | 65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 | 2018-04-11 |
| 1366800757 | Corinne R Seville | Psychologist | 2400 Main St, Bridgeport, CT 06606-5323 | 2016-02-01 |
| 1528434115 | Preventative Healthcare Solutions LLC | Psychologist | 1187 Broad St, Lower Level, Bridgeport, CT 06604-4101 | 2015-08-18 |
| 1720498835 | Carol Annette Hughes | Psychologist | 527 Medical Park Dr, Suite 105, Bridgeport, WV 26330-9008 | 2014-04-29 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06604 |
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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.