MRS. AMY LYNN MOORE PSY.D
NPI 1629115472
Psychologist - Clinical in Berkeley, CA

Active since January 31, 2007PECOS EnrolledAccepts Medicare Assignment
2640 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94704(510) 981-5290(510) 981-5235 Get Directions Write a Review

NPPES record last updated: February 9, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Amy Lynn Moore Psy.d NPPES

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

MRS. AMY LYNN MOORE PSY.D (NPI 1629115472) is an individual clinical provider in Berkeley, California, licensed in California (23805) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1629115472
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMRS. AMY LYNN MOORECredential: PSY.D
Location Address2640 MARTIN LUTHER KING JR WAYBerkeley, CA 94704-3238
Mailing Address2640 Martin Luther King Jr WayBerkeley, CA 94704-3238 · (510) 981-5290
Fax(510) 981-5235
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 31, 2007
Last NPPES UpdateFebruary 9, 2011
NPI 1629115472 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 CA · 23805
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.
2640 MARTIN LUTHER KING JR WAY, Berkeley, CA 94704

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Amy Lynn Moore Psy.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618151838
PECOS Enrollment IDI20110413000550
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Registered Nurse (Psychiatric/Mental Health)
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Registered Nurse (Psychiatric/Mental Health, Adult)
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Social Worker
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Marriage & Family Therapist
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Registered Nurse
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Social Worker (Clinical)
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Student in an Organized Health Care Education/Training Program
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Student in an Organized Health Care Education/Training Program
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704

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 Amy Moore's NPI number?

The NPI number for Amy Moore is 1629115472. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Amy Moore located?

Amy Moore practices at 2640 Martin Luther King Jr Way, Berkeley, CA 94704. The listed phone number is (510) 981-5290.

What is Amy Moore's specialty?

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

Is Amy Moore enrolled in Medicare?

Yes. Amy Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amy Moore accept?

Health plans from Providence Health Plan list Amy Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amy Moore was last updated on February 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.