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DR. SAMUEL MORENO PHD
NPI 1568455236
Psychologist - Clinical in Moline, IL

Active since August 26, 2005

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Samuel Moreno Phd NPPES

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

DR. SAMUEL MORENO PHD (NPI 1568455236) is an individual clinical provider in Moline, Illinois and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1568455236
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SAMUEL MORENOCredential: PHD
Location Address4600 3RD STMoline, IL 61265-6106
Mailing Address4602 3rd StMoline, IL 61265-6106 · (309) 779-2031
Phone(309) 779-7552
Sole ProprietorNo
Enumeration DateAugust 26, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1568455236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
4600 3RD ST, Moline, IL 61265
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Other Identifiers 4

OtherIL01A6IL · John Deere Number
Other71003237IL · Blue Cross Illinois
Medicare ID-Type UnspecifiedK18564IL · Wps Medicare Number
Medicare ID-Type UnspecifiedP00186292IL · Rr Medicare

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.

MS. JOAN TIMMERMANN LCSW
Social Worker (Clinical)
4600 3RD ST
MOLINE, IL 61265
Rock Island County (309) 779-2031
LASHONA MICHELLE DAVIS CMA
Nurse's Aide
4600 3RD ST
MOLINE, IL 61265
Rock Island County (309) 779-2031
CLINTON TROY MERRITT
Counselor (Mental Health)
4600 3RD ST
MOLINE, IL 61265
Rock Island County (708) 305-4041
ANNULKA LYNN KAGEE-WILLARD
Counselor (Mental Health)
4600 3RD ST
MOLINE, IL 61265
Rock Island County (309) 779-3000
REBEKAH ANN CLARK LPHA,LCSW
Social Worker (Clinical)
4600 3RD ST
MOLINE, IL 61265
Rock Island County (309) 779-2031
TREENA ADAMS APN
Nurse Practitioner (Family)
4600 3RD ST
MOLINE, IL 61265
Rock Island County (309) 779-3000
SALENA HUTCHINS
Nurse's Aide
4600 3RD ST
MOLINE, IL 61265
Rock Island County (309) 779-3924
MICHELLE R. SHEPHERD PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4600 3RD ST
MOLINE, IL 61265
Rock Island County (309) 779-2031

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 Samuel Moreno's NPI number?

The NPI number for Samuel Moreno is 1568455236. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Samuel Moreno located?

Samuel Moreno practices at 4600 3rd St, Moline, IL 61265. The listed phone number is (309) 779-7552.

What is Samuel Moreno'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 Samuel Moreno was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.