PHOEBE S MOORE PH.D.
NPI 1295898070
Psychologist - Clinical in Worcester, MA

Active since December 19, 2006
55 LAKE AVE N, WORCESTER, MA 01655(508) 856-3220(508) 856-3036 Get Directions Write a Review

NPPES record last updated: April 18, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Phoebe S Moore Ph.d. NPPES

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

PHOEBE S MOORE PH.D. (NPI 1295898070) is an individual clinical provider in Worcester, Massachusetts, licensed in Massachusetts (9261) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1295898070
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NamePHOEBE S MOORECredential: PH.D.
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Fax(508) 856-3036
Sole ProprietorNo
Enumeration DateDecember 19, 2006
Last NPPES UpdateApril 18, 2017
NPI 1295898070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in MA · 9261 Licensed in NC · 3052 Licensed in CA · PSY21384
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.

55 LAKE AVE N, Worcester, MA 01655

Other Identifiers 2

Medicaid110092081AMA
Medicare PIN002536301MA

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.

Pharmacist (Pharmacotherapy)
55 LAKE AVE N, UMASS MED CENTER DEPT OF PHARMACY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Internal Medicine (Cardiovascular Disease)
55 LAKE AVE N, CARDIOLOGY
WORCESTER, MA 01655
Psychiatry & Neurology (Psychiatry)
55 LAKE AVE N
WORCESTER, MA 01655
Pharmacist (Pharmacotherapy)
55 LAKE AVE N
WORCESTER, MA 01655
Genetic Counselor, MS
55 LAKE AVE N, S1-710
WORCESTER, MA 01655
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Rheumatology)
55 LAKE AVE N
WORCESTER, MA 01655

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295898070, enumerated as an "individual" on December 19, 2006.

The provider is located at 55 LAKE AVE N WORCESTER, MA 01655 and the phone number is (508) 856-3220.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.