DR. STEPHANIE DIANE MOORE PSY.D.
NPI 1396874087
Psychologist - Clinical in Waterford, CT

Active since March 05, 2007PECOS EnrolledAccepts Medicare Assignment
567 VAUXHALL STREET EXTENSION, #107, WATERFORD, CT 06385(860) 439-1980(860) 388-4460 Get Directions Write a Review

NPPES record last updated: June 20, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Stephanie Diane Moore Psy.d. NPPES

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

DR. STEPHANIE DIANE MOORE PSY.D. (NPI 1396874087) is an individual clinical provider in Waterford, Connecticut, licensed in Connecticut (001668) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1989).

NPPES Registry Identity

NPI1396874087
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. STEPHANIE DIANE MOORECredential: PSY.D.
Location Address567 VAUXHALL STREET EXTENSION, #107Waterford, CT 06385
Mailing AddressPo Box 403Old Saybrook, CT 06475-0403 · (860) 536-1536
Fax(860) 388-4460
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 1989
Enumeration DateMarch 5, 2007
Last NPPES UpdateJune 20, 2012
NPI 1396874087 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 CT · 001668
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.

567 VAUXHALL STREET EXTENSION, Waterford, CT 06385

Other Identifiers 2

Medicare ID-Type Unspecified680000832CT
Other060001668CT02CT · Anthem Blue Cross

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 and accepts Medicare assignment

Dr. Stephanie Diane Moore Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860530086
PECOS Enrollment IDI20091109000598
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06385 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 2

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

Psychologist (Clinical)
567 VAUXHALL STREET EXTENSION, SUITE 314
WATERFORD, CT 06385
Psychiatry & Neurology (Psychiatry)
567 VAUXHALL STREET EXTENSION, SUITE 218
WATERFORD, CT 06385

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 Stephanie Moore's NPI number?

The NPI number for Stephanie Moore is 1396874087. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Stephanie Moore located?

Stephanie Moore practices at 567 Vauxhall Street Extension #107, Waterford, CT 06385. The listed phone number is (860) 439-1980.

What is Stephanie Moore's specialty?

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

Is Stephanie Moore enrolled in Medicare?

Yes. Stephanie Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephanie Moore accept?

Health plans from Providence Health Plan list Stephanie 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 Stephanie Moore was last updated on June 20, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.