DR. DAVID ANDREW MOORE PSYD
NPI 1659511194
Psychologist - Clinical in Detroit, MI

Active since February 24, 2009PECOS EnrolledAccepts Medicare Assignment
2799 W GRAND BLVD, DETROIT, MI 48202(313) 829-8314 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 29, 2021, Jul 7, 2017 (2 updates tracked since 2017).

About Dr. David Andrew Moore Psyd NPPES

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

DR. DAVID ANDREW MOORE PSYD (NPI 1659511194) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6301017096) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1659511194
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DAVID ANDREW MOORECredential: PSYD
Location Address2799 W GRAND BLVDDetroit, MI 48202-2689
Mailing Address2799 West Grand Boulevard, Clara Ford Pavilion 107Detroit, MI 48202 · (313) 829-8314
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 24, 2009
Last NPPES UpdateMarch 29, 20212 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
NPI 1659511194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in MI · 6301017096 Licensed in PA · PS018057
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.

2799 W GRAND BLVD, Detroit, MI 48202

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

Dr. David Andrew Moore Psyd 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 ID4486924370
PECOS Enrollment IDI20170726000932
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 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
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Genetic Counselor, MS
2799 W GRAND BLVD, MEDICAL GENETICS CFP-4
DETROIT, MI 48202
Nurse Practitioner (Women's Health)
2799 W GRAND BLVD
DETROIT, MI 48202
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
2799 W GRAND BLVD, WP-1102A
DETROIT, MI 48202
Internal Medicine
2799 W GRAND BLVD, K-17
DETROIT, MI 48202
Pathology (Anatomic Pathology & Clinical Pathology)
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD, HENRY FORD DEPT. OF RADIOLOGY
DETROIT, MI 48202
Physician Assistant
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Infectious Disease)
2799 W GRAND BLVD
DETROIT, MI 48202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659511194, enumerated as an "individual" on February 24, 2009.

The provider is located at 2799 W GRAND BLVD DETROIT, MI 48202 and the phone number is (313) 829-8314.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.

David Moore is affiliated with: HENRY FORD HEALTH HOSPITAL.