KELLY M MOORE PH.D.
NPI 1477960433
Psychologist in Hines, IL

Active since July 22, 2014
5000 S 5TH AVE, HINES, IL 60141(708) 774-0246 Get Directions Write a Review

NPPES record last updated: July 22, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly M Moore Ph.d. NPPES

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

KELLY M MOORE PH.D. (NPI 1477960433) is an individual psychologist in Hines, Illinois, licensed in Illinois (071008849) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1477960433
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKELLY M MOORECredential: PH.D.
Location Address5000 S 5TH AVEHines, IL 60141-3030
Mailing Address900 S Clark St Apt 904Chicago, IL 60605-3686 · (719) 648-7617
Sole ProprietorYes
Enumeration DateJuly 22, 2014
NPI 1477960433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in IL · 071008849
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
5000 S 5TH AVE, Hines, IL 60141

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.

Kinesiotherapist
5000 S 5TH AVE
HINES, IL 60141
Psychologist (Clinical)
5000 S 5TH AVE
HINES, IL 60141
Social Worker (Clinical)
5000 S 5TH AVE, BUILDING 1, ROOM D102-D
HINES, IL 60141
Psychologist (Clinical)
5000 S 5TH AVE
HINES, IL 60141
Military Hospital (Military General Acute Care Hospital)
5000 S 5TH AVE
HINES, IL 60141
Recreation Therapist
5000 S 5TH AVE
HINES, IL 60141
Pharmacist
5000 S 5TH AVE
HINES, IL 60141
Internal Medicine
5000 S 5TH AVE
HINES, IL 60141

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 Kelly Moore's NPI number?

The NPI number for Kelly Moore is 1477960433. It was assigned to this individual provider in the NPPES registry on July 22, 2014.

Where is Kelly Moore located?

Kelly Moore practices at 5000 S 5th Ave, Hines, IL 60141. The listed phone number is (708) 774-0246.

What is Kelly Moore's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Kelly Moore was last updated on July 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.