NICHOLAS R MOOREHEAD PHD - NPI 1417694159 - Psychologist in Eielson Afb, AK

Q: What is Nicholas Moorehead's NPI number?

The NPI number for Nicholas Moorehead is 1417694159. It was assigned to this individual provider in the NPPES registry on May 15, 2022.

Q: What is Nicholas Moorehead's specialty?

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

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About Nicholas R Moorehead Phd NPPES

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

NICHOLAS R MOOREHEAD PHD (NPI 1417694159) is an individual clinical provider in Eielson Afb, Alaska, licensed in Virginia (0810008333) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1417694159

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameNICHOLAS R MOOREHEADCredential: PHD

Location Address2630 CENTRAL AVE # 3349Eielson Afb, AK 99702-2301

Mailing Address2630 Central Ave # 3349Eielson Afb, AK 99702-2301 · (907) 377-3071

Phone(907) 377-3071

Sole ProprietorNo

Enumeration DateMay 15, 2022

Last NPPES UpdateOctober 23, 20232 updates tracked since enumeration

NPPES CertifiedOctober 23, 2023

✔ NPI 1417694159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VA · 0810008333

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2630 CENTRAL AVE # 3349, Eielson Afb, AK 99702

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