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MIKAYLA C MOORE
NPI 1104691781
Psychologist - Clinical in Grand Rapids, MI

Active since November 23, 2023
330 E BELTLINE AVE NE STE 320, GRAND RAPIDS, MI 49506(616) 745-8640 Get Directions Write a Review

NPPES record last updated: November 23, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mikayla C Moore NPPES

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

MIKAYLA C MOORE (NPI 1104691781) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6362009854) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1104691781
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMIKAYLA C MOORE
Location Address330 E BELTLINE AVE NE STE 320Grand Rapids, MI 49506-1267
Mailing Address6845 Terra Cotta Dr SeCaledonia, MI 49316-8005 · (616) 745-8640
Phone(616) 745-8640
Sole ProprietorNo
Enumeration DateNovember 23, 2023
NPPES CertifiedNovember 23, 2023
✔ NPI 1104691781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6362009854
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
330 E BELTLINE AVE NE STE 320, Grand Rapids, MI 49506
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

KARLI HENNING LPC
Counselor (Professional)
330 E BELTLINE AVE NE STE 320
GRAND RAPIDS, MI 49506
Kent County (616) 805-3660
WINIFRED WILSON
Counselor (Mental Health)
330 E BELTLINE AVE NE STE 320
GRAND RAPIDS, MI 49506
Kent County (616) 805-3660

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 Mikayla Moore's NPI number?

The NPI number for Mikayla Moore is 1104691781. It was assigned to this individual provider in the NPPES registry on November 23, 2023.

Where is Mikayla Moore located?

Mikayla Moore practices at 330 E Beltline Ave NE Ste 320, Grand Rapids, MI 49506. The listed phone number is (616) 745-8640.

What is Mikayla Moore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Mikayla Moore accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Mikayla Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mikayla Moore was last updated on November 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.