MARK DANIEL MOORE MA SCHOOL PSYCHOLOGY
NPI 1073031019
Psychologist - School in Crescent City, IL

Active since August 30, 2017
100 MINER ST, CRESCENT CITY, IL 60928(815) 683-2662 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jun 20, 2018, Aug 30, 2017 (3 updates tracked since 2017).

About Mark Daniel Moore Ma School Psychology NPPES

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

MARK DANIEL MOORE MA SCHOOL PSYCHOLOGY (NPI 1073031019) is an individual school provider in Crescent City, Illinois, licensed in Illinois (1986210) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1073031019
Entity TypeIndividualMale
Primary Taxonomy103TS0200X
Provider Legal NameMARK DANIEL MOORECredential: MA SCHOOL PSYCHOLOGY
Location Address100 MINER STCrescent City, IL 60928-8092
Mailing Address100 Miner StCrescent City, IL 60928-8092 · (815) 683-2662
Sole ProprietorYes
Enumeration DateAugust 30, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1073031019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
License Licensed in IL · 1986210
Definition

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

100 MINER ST, Crescent City, IL 60928

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 Mark Moore's NPI number?

The NPI number for Mark Moore is 1073031019. It was assigned to this individual provider in the NPPES registry on August 30, 2017.

Where is Mark Moore located?

Mark Moore practices at 100 Miner St, Crescent City, IL 60928. The listed phone number is (815) 683-2662.

What is Mark Moore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

When was this NPI record last updated?

The NPPES record for Mark Moore was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.