THOMAS IAN MOORE
NPI 1679934608
Counselor - Mental Health in San Diego, CA
About Thomas Ian Moore NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS IAN MOORE (NPI 1679934608) is an individual mental health provider in San Diego, California, licensed in California (ASW70618) and active in the NPI registry since March 2016.
NPPES Registry Identity
Specialties & Licenses 2
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.
SAN DIEGO, CA 92110
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 Thomas Moore's NPI number?
The NPI number for Thomas Moore is 1679934608. It was assigned to this individual provider in the NPPES registry on March 18, 2016.
Where is Thomas Moore located?
Thomas Moore practices at 3132 Jefferson St, San Diego, CA 92110. The listed phone number is (619) 683-3100.
What is Thomas Moore's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Thomas Moore was last updated on October 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Thomas Ian Moore · NPI 1679934608
Mental Health provider in San Diego, California. Individual provider, active in the CMS NPPES registry since March 18, 2016.
## Identity
- **NPI:** 1679934608 (Entity type: Individual)
- **Enumerated:** March 18, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** ASW70618 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3132 JEFFERSON ST, San Diego, CA 92110-4421
- **Phone:** (619) 683-3100
## Record status
- **NPPES last updated:** October 25, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1679934608) · Data from the CMS NPPES public registry.