MINDY STUTZMAN MOORE PH.D.
NPI 1356744593
Psychologist - Clinical in Elk Grove Village, IL

Active since October 02, 2014PECOS Enrolled
1920 NERGE RD, ELK GROVE VILLAGE, IL 60007(954) 835-2835 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 9, 2023, Mar 19, 2018 (2 updates tracked since 2018).

About Mindy Stutzman Moore Ph.d. NPPES

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

MINDY STUTZMAN MOORE PH.D. (NPI 1356744593) is an individual clinical provider in Elk Grove Village, Illinois, licensed in Illinois (071009756) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356744593
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMINDY STUTZMAN MOORECredential: PH.D.
Location Address1920 NERGE RDElk Grove Village, IL 60007-2972
Mailing Address1235a N Clybourn Ave Ste 210Chicago, IL 60610-1707
Sole ProprietorNo
Enumeration DateOctober 2, 2014
Last NPPES UpdateFebruary 9, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2023
NPI 1356744593 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 IL · 071009756
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.
1920 NERGE RD, Elk Grove Village, IL 60007

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mindy Stutzman Moore Ph.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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
354 services60 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
215 services35 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
60 services60 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
37 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60007 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

Skilled Nursing Facility
1920 NERGE RD
ELK GROVE VILLAGE, IL 60007
Skilled Nursing Facility
1920 NERGE RD
ELK GROVE VLG, IL 60007
Nurse Practitioner
1920 NERGE RD, HEARTLAND CARE PARTNERS
ELK GROVE VILLAGE, IL 60007
Nurse Practitioner
1920 NERGE RD, HEARTLAND CARE PARTNERS
ELK GROVE VILLAGE, IL 60007
Occupational Therapist
1920 NERGE RD
ELK GROVE VILLAGE, IL 60007

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 Mindy Moore's NPI number?

The NPI number for Mindy Moore is 1356744593. It was assigned to this individual provider in the NPPES registry on October 2, 2014.

Where is Mindy Moore located?

Mindy Moore practices at 1920 Nerge Rd, Elk Grove Village, IL 60007. The listed phone number is (954) 835-2835.

What is Mindy Moore's specialty?

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

Is Mindy Moore enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mindy Moore was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.