MOORE PSYCHOTHERAPY CARE LLC
NPI 1265856447
Psychologist - Clinical in Philadelphia, PA

Active since February 09, 2014
2400 CHESTNUT ST APT 2810, PHILADELPHIA, PA 19103(267) 879-4110 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Moore Psychotherapy Care Llc NPPES

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

MOORE PSYCHOTHERAPY CARE LLC (NPI 1265856447) is a healthcare organization registered as a clinical in Philadelphia, Pennsylvania and active in the NPI registry since February 2014. The organization lists Mark Anthony Moore, Proprietor, as its authorized official.

NPPES Registry Identity

NPI1265856447
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMOORE PSYCHOTHERAPY CARE LLC
Location Address2400 CHESTNUT ST APT 2810Philadelphia, PA 19103-4325
Mailing Address2400 Chestnut St Apt 2810Philadelphia, PA 19103-4325 · (267) 879-4110
Organization SubpartNo
Authorized OfficialMark Anthony MooreProprietor · (267) 879-4110
Enumeration DateFebruary 9, 2014
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1265856447 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 PA · PS015627
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.
2400 CHESTNUT ST APT 2810, Philadelphia, PA 19103

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moore Psychotherapy Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Moore Psychotherapy Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1669690905
230 W WASHINGTON SQ 2ND FLOOR
Philadelphia, PA 19106
(215) 829-6088
✔ PECOS✔ Accepts Medicare1.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Moore Psychotherapy Care LLC's NPI number?

The NPI number for Moore Psychotherapy Care LLC is 1265856447. It was assigned to this organization in the NPPES registry on February 9, 2014.

Where is Moore Psychotherapy Care LLC located?

Moore Psychotherapy Care LLC is located at 2400 Chestnut St Apt 2810, Philadelphia, PA 19103. The listed phone number is (267) 879-4110.

What is Moore Psychotherapy Care LLC's specialty?

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

Is Moore Psychotherapy Care LLC enrolled in Medicare?

Yes. Moore Psychotherapy Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Moore Psychotherapy Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Moore Psychotherapy Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Moore Psychotherapy Care LLC was last updated on February 21, 2024. 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.