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DR. THEODORE MOORE II PSY.D.
NPI 1528935970
Psychologist - Clinical in Crete, IL

Active since October 21, 2025

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Theodore Moore Ii Psy.d. NPPES

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

DR. THEODORE MOORE II PSY.D. (NPI 1528935970) is an individual clinical provider in Crete, Illinois, licensed in Illinois (071.022431) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1528935970
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. THEODORE MOORE IICredential: PSY.D.
Location Address900 HONEY LNCrete, IL 60417-1314
Mailing Address900 Honey LnCrete, IL 60417-1314
Phone(708) 674-1899
Sole ProprietorYes
Enumeration DateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1528935970 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 · 071.022431
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.
900 HONEY LN, Crete, IL 60417
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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 Theodore Moore's NPI number?

The NPI number for Theodore Moore is 1528935970. It was assigned to this individual provider in the NPPES registry on October 21, 2025.

Where is Theodore Moore located?

Theodore Moore practices at 900 Honey Ln, Crete, IL 60417. The listed phone number is (708) 674-1899.

What is Theodore Moore's specialty?

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

When was this NPI record last updated?

The NPPES record for Theodore Moore was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.