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DR. ANJELICA MOORE MD FAMILY PRACTICE
NPI 1568200541
Psychologist - Prescribing (Medical) in Grand Rapids, MI

Active since July 16, 2024
245 CHERRY ST SE STE 100, GRAND RAPIDS, MI 49503(616) 685-3200 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Anjelica Moore Md Family Practice NPPES

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

DR. ANJELICA MOORE MD FAMILY PRACTICE (NPI 1568200541) is an individual prescribing (medical) provider in Grand Rapids, Michigan and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1568200541
Entity TypeIndividualFemale
Primary Taxonomy103TP0016X
Provider Legal NameDR. ANJELICA MOORECredential: MD FAMILY PRACTICE
Location Address245 CHERRY ST SE STE 100Grand Rapids, MI 49503-4607
Mailing Address245 Cherry St Se Ste 100Grand Rapids, MI 49503-4607
Phone(616) 685-3200
Sole ProprietorYes
Enumeration DateJuly 16, 2024
NPPES CertifiedJuly 16, 2024
✔ NPI 1568200541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
245 CHERRY ST SE STE 100, Grand Rapids, MI 49503
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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.

MISS TERESA M MANN LMSW
Social Worker (Clinical)
245 CHERRY ST SE STE 100
GRAND RAPIDS, MI 49503
Kent County (616) 685-3200
DR. LAUREN STONEROCK PHARMD
Pharmacist (Ambulatory Care)
245 CHERRY ST SE STE 100
GRAND RAPIDS, MI 49503
Kent County (616) 685-3200
AMBER MARVA LINDEMAN NP
Nurse Practitioner
245 CHERRY ST SE STE 100
GRAND RAPIDS, MI 49503
Kent County (616) 685-3200
MIRIAM ADRIANSON MD
Family Medicine
245 CHERRY ST SE STE 100
GRAND RAPIDS, MI 49503
Kent County (616) 685-3200
CLAIRE E SCHAAR MD
Family Medicine
245 CHERRY ST SE STE 100
GRAND RAPIDS, MI 49503
Kent County (616) 685-3200

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 Anjelica Moore's NPI number?

The NPI number for Anjelica Moore is 1568200541. It was assigned to this individual provider in the NPPES registry on July 16, 2024.

Where is Anjelica Moore located?

Anjelica Moore practices at 245 Cherry St SE Ste 100, Grand Rapids, MI 49503. The listed phone number is (616) 685-3200.

What is Anjelica Moore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

When was this NPI record last updated?

The NPPES record for Anjelica Moore was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.