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JUDY MOORE
NPI 1043526171
Marriage & Family Therapist in Davis, CA

Active since August 26, 2010Opted out of Medicare · through Jan 1, 2028
2100 5TH ST, DAVIS, CA 95618(530) 747-3400(530) 753-0398 Get Directions Write a Review

NPPES record last updated: May 16, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Judy Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDY MOORE (NPI 1043526171) is an individual marriage & family therapist in Davis, California, licensed in California (46735) and active in the NPI registry since August 2010. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1043526171
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJUDY MOORE
Location Address2100 5TH STDavis, CA 95618-6591
Mailing Address2100 5th StDavis, CA 95618-6591 · (530) 747-3400 · Fax (530) 753-0398
Phone(530) 747-3400
Fax(530) 753-0398
Sole ProprietorNo
Enumeration DateAugust 26, 2010
Last NPPES UpdateMay 16, 2011
✔ NPI 1043526171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 46735
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
2100 5TH ST, Davis, CA 95618
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Judy Moore has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. EMERALD ANNE BERMUDEZ ROGERS LMFT
Marriage & Family Therapist
2100 5TH ST
DAVIS, CA 95618
Yolo County (530) 747-3414
BONITA POE
Counselor
2100 5TH ST
DAVIS, CA 95618
Yolo County (530) 747-3400
ADLISHA PAYNE
Counselor
2100 5TH ST
DAVIS, CA 95618
Yolo County (530) 747-3400
KATHERINE BERGHOEF MSW
Social Worker (Clinical)
2100 5TH ST
DAVIS, CA 95618
Yolo County (530) 753-0220
MRS. CATHERINE SUSANNE DOHERTY
Counselor (Mental Health)
2100 5TH ST
DAVIS, CA 95618
Yolo County (530) 753-0220
STACY M DOERING MS
Marriage & Family Therapist
2100 5TH ST
DAVIS, CA 95618
Yolo County (530) 902-3951
JOEL LOPEZ
Counselor
2100 5TH ST
DAVIS, CA 95618
Yolo County (530) 747-3400
MR. RODOLFO GUERRA
Counselor (Mental Health)
2100 5TH ST
DAVIS, CA 95618
Yolo County (530) 747-3400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judy Moore's NPI number?

The NPI number for Judy Moore is 1043526171. It was assigned to this individual provider in the NPPES registry on August 26, 2010.

Where is Judy Moore located?

Judy Moore practices at 2100 5th St, Davis, CA 95618. The listed phone number is (530) 747-3400.

What is Judy Moore's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Judy Moore enrolled in Medicare?

No. Judy Moore has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Judy Moore was last updated on May 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.