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MR. MICHAEL T MOORE CASAC-T
NPI 1104615970
Counselor - Addiction (Substance Use Disorder) in Bronx, NY

Active since May 06, 2025
830 FOREST AVE RM 119, BRONX, NY 10456(718) 742-5684 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Michael T Moore Casac-t NPPES

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

MR. MICHAEL T MOORE CASAC-T (NPI 1104615970) is an individual addiction (substance use disorder) provider in Bronx, New York and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1104615970
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. MICHAEL T MOORECredential: CASAC-T
Location Address830 FOREST AVE RM 119Bronx, NY 10456-7802
Mailing Address830 Forest Ave Rm 119Bronx, NY 10456-7802
Phone(718) 742-5684
Sole ProprietorNo
Enumeration DateMay 6, 2025
NPPES CertifiedMay 6, 2025
✔ NPI 1104615970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
830 FOREST AVE RM 119, Bronx, NY 10456
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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 Michael Moore's NPI number?

The NPI number for Michael Moore is 1104615970. It was assigned to this individual provider in the NPPES registry on May 6, 2025.

Where is Michael Moore located?

Michael Moore practices at 830 Forest Ave Rm 119, Bronx, NY 10456. The listed phone number is (718) 742-5684.

What is Michael Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Michael Moore was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.