DR. TIMOTHY RICHARD MOORE PH.D., LP, BCBA-D
NPI 1194094045
Psychologist in Minneapolis, MN

Active since December 22, 2011PECOS Enrolled
81.72/100
CMS Quality Rating
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414(612) 331-9413(612) 728-5301 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 10, 2025, Apr 30, 2018 (2 updates tracked since 2018).

About Dr. Timothy Richard Moore Ph.d., Lp, Bcba-d NPPES

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

DR. TIMOTHY RICHARD MOORE PH.D., LP, BCBA-D (NPI 1194094045) is an individual psychologist in Minneapolis, Minnesota, licensed in Minnesota (5453) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194094045
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. TIMOTHY RICHARD MOORECredential: PH.D., LP, BCBA-D
Location Address3333 UNIVERSITY AVE SEMinneapolis, MN 55414-3325
Mailing Address2025 E River RdMinneapolis, MN 55414-3604 · (612) 624-0722
Fax(612) 728-5301
Sole ProprietorNo
Enumeration DateDecember 22, 2011
Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
NPI 1194094045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · 5453
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3333 UNIVERSITY AVE SE, Minneapolis, MN 55414

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Timothy Richard Moore Ph.d., Lp, Bcba-d 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

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.

Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Counselor (Professional)
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414

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 Timothy Moore's NPI number?

The NPI number for Timothy Moore is 1194094045. It was assigned to this individual provider in the NPPES registry on December 22, 2011.

Where is Timothy Moore located?

Timothy Moore practices at 3333 University Ave SE, Minneapolis, MN 55414. The listed phone number is (612) 331-9413.

What is Timothy Moore's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Timothy Moore enrolled in Medicare?

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

What insurance does Timothy Moore accept?

Health plans from Sanford Health Plan list Timothy 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 Timothy Moore was last updated on July 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.