DR. CHRISTINA EYMARD MOORE (NPI# 1952483661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952483661 |
| Entity Type | Individual |
| Full Name | DR. CHRISTINA EYMARD MOORE |
| Credential | PSYD |
| Practice Address |
12 C Ledgebrook Drive Mansfield CT 06250-1664 |
| Mailing Address |
12c Ledgebrook Dr Mansfield Center CT 06250-1664 |
| Practice Telephone | 8602088944 |
| Mailing Telephone | 8602088944 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1443 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANTHEM BLUE CROSS BLUE SH | 060001443CT01 | 01 |
| CT | MHN | 306587 | 01 |
| CT | VALUEOPTIONS | 102606 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144708934 | Christina Lynn Moore | Licensed Vocational Nurse | 8755 Carraway Ln, Magnolia, TX 77354-6020 | 2018-08-02 |
| 1184046914 | Christina Moore | Nurse Practitioner | 7245 Kimble Dr, Indianapolis, IN 46217-7154 | 2014-01-14 |
| 1568883635 | Christina Moore | Counselor | 394 W Main St Ste 101, Lehi, UT 84043-2075 | 2013-12-17 |
| 1104452648 | Christina Moore | Counselor | 404 Independence Blvd, Sicklerville, NJ 08081-1094 | 2020-03-17 |
| 1922663020 | Christina Marie Moore | Pharmacist | 105 Sw 2nd St, Tulia, TX 79088-2747 | 2019-05-03 |
| 1932668845 | Christina Carr Moore | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2019-03-19 |
| 1003370859 | Christina L Moore | Occupational Therapist | 3150 N 12th St, Grand Junction, CO 81506-2863 | 2019-01-25 |
| 1801377635 | Christina Marie Moore | Speech-Language Pathologist | 8200 Walnut Hill Ln, Dallas, TX 75231-4426 | 2018-08-29 |
| 1417443300 | Christina Moore | Case Manager/Care Coordinator | 644 E Jefferson Ave, Bastrop, LA 71220-4619 | 2018-07-03 |
| 1578056974 | Christina Danielle Moore | Counselor | 6331 W 110th St, Overland Park, KS 66211-1509 | 2018-06-11 |
| Street Address |
12 C LEDGEBROOK DRIVE |
| City | MANSFIELD |
| State | CT |
| Zip Code | 06250-1664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610765 | Rebecca Hinckley | Physical Therapist | 175 Stafford Road, Mansfield Center, CT 06250 | 2020-08-22 |
| 1649801184 | Kristine Leslie Dimartino | Marriage & Family Therapist | Natchaug Hospital Sachem House, 151 Storrs Road, Mansfield Center, CT 06250 | 2020-02-03 |
| 1942845508 | Philip Fank De Ricco | Massage Therapist | 590 Ash St, Mansfield, CT 06250 | 2019-11-07 |
| 1134772858 | Lauren Curtis | Counselor | 140 North Frontage Road, Mansfield Ctr, CT 06250 | 2019-07-22 |
| 1548747629 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 140 North Frontage Road, Room 171, Mansfield Center, CT 06250 | 2018-07-23 |
| 1366958480 | Mansfield Mental Health & Addiction Medicine | Psychiatry & Neurology | 18-e Ledgebrook Drive, 18-e, Mansfield Ctr, CT 06250 | 2017-12-27 |
| 1124499629 | Laura Jean Lassow | Social Worker | 70 Jacobs Hill Rd, Mansfield Center, CT 06250 | 2015-10-12 |
| 1508105891 | Raymond Karl Bopp | Surgery | 533 Wormwood Hill Road, Mansfield Center, CT 06250 | 2013-02-06 |
| 1992026900 | Carole Laurie Olderman | Social Worker | 189 Storrs Road, 06250, Natchaug Hospital, Mansfield, CT 06250 | 2010-06-14 |
| 1427384775 | Maurice Samuel Lapointe | Marriage & Family Therapist | 365 Storrs Road, Mansfield, CT 06250 | 2009-10-21 |
| Find all providers in zip 06250 | ||||
| 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 |
|---|---|---|---|---|
| 1700288651 | Karla Evans | Psychologist | 4108 Water Park Cir, Mansfield, TX 76063-9110 | 2014-09-23 |
| 1821407503 | Indigo Counseling Services, Inc | Psychologist | 1230 Lexington Ave Ste 100, Mansfield, OH 44907-2679 | 2014-08-07 |
| 1992113849 | Julie Jones Okereke | Psychologist | 310 Forestridge Dr, Mansfield, TX 76063-7588 | 2014-07-23 |
| 1104151778 | Armin R Azar | Psychologist | 12 Giles Pl, Box 203, Mansfield, MA 02048-0203 | 2009-10-14 |
| 1811120777 | New England Counseling Center PC | Psychologist | 792 S Main St, Mansfield, MA 02048-3137 | 2009-08-26 |
| 1174792709 | David Edmund Duhaime | Psychologist | 131 York Rd, Mansfield, MA 02048-1763 | 2008-02-28 |
| 1811011828 | Paul E Robinson | Psychologist | 3077 Possum Run Rd, Mansfield, OH 44903-7506 | 2007-03-16 |
| 1184707986 | Dennis Andrew Marikis | Psychologist | 788 Lexington Ave, Mansfield, OH 44907 | 2006-10-23 |
| 1164431151 | Harold Schroeder Phd & Associates | Psychologist | 111 S Diamond St, Mansfield, OH 44902-7510 | 2006-08-07 |
| 1871570390 | Neurobehavioral Associates Ltd | Psychologist | 462 Park Ave West, Mansfield, OH 44906 | 2005-12-27 |
| Find all providers in MANSFIELD | ||||
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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.