MICHAEL SINCLAIR MOORE LMFT
NPI 1164541330
Marriage & Family Therapist in San Fernando, CA

Active since March 28, 2007PECOS Enrolled
1172 N MACLAY AVE, SAN FERNANDO, CA 91340(818) 765-8656 Get Directions Write a Review

NPPES record last updated: December 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Sinclair Moore Lmft NPPES

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

MICHAEL SINCLAIR MOORE LMFT (NPI 1164541330) is an individual marriage & family therapist in San Fernando, California, licensed in California (MFC52167) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164541330
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMICHAEL SINCLAIR MOORECredential: LMFT
Location Address1172 N MACLAY AVESan Fernando, CA 91340-1328
Mailing Address1172 N Maclay AveSan Fernando, CA 91340-4236 · (818) 765-8656
Sole ProprietorNo
Enumeration DateMarch 28, 2007
Last NPPES UpdateDecember 14, 2013
NPI 1164541330 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 · MFC52167
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.
1172 N MACLAY AVE, San Fernando, CA 91340

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael Sinclair Moore Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Registered Nurse
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Clinic/Center (Federally Qualified Health Center (FQHC))
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Family Medicine
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Family Medicine
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Pediatrics
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Dentist (General Practice)
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Obstetrics & Gynecology
1172 N MACLAY AVE
SAN FERNANDO, CA 91340

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 1164541330. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Michael Moore located?

Michael Moore practices at 1172 N Maclay Ave, San Fernando, CA 91340. The listed phone number is (818) 765-8656.

What is Michael Moore's specialty?

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

Is Michael Moore enrolled in Medicare?

Yes. Michael Moore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Moore was last updated on December 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.