JARED MOORE PSY.D.
NPI 1679971865
Psychologist - Clinical in Philadelphia, PA

Q: What is Jared Moore's NPI number?

The NPI number for Jared Moore is 1679971865. It was assigned to this individual provider in the NPPES registry on December 20, 2014.

Q: What is Jared Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jared Moore was last updated on June 20, 2018. 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.

Active since December 20, 2014

4701 PINE ST, APT. B13, PHILADELPHIA, PA 19143(201) 310-6508 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jared Moore Psy.d. NPPES

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

JARED MOORE PSY.D. (NPI 1679971865) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS017735) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1679971865

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameJARED MOORECredential: PSY.D.

Location Address4701 PINE ST, APT. B13Philadelphia, PA 19143-1816

Mailing Address4742 Pine St, Apt 402Philadelphia, PA 19143-1968 · (201) 310-6508

Phone(201) 310-6508

Sole ProprietorYes

Enumeration DateDecember 20, 2014

Last NPPES UpdateJune 20, 2018

✔ NPI 1679971865 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 PA · PS017735

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.

4701 PINE ST, Philadelphia, PA 19143

Open in Google Maps ↗

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 Jared Moore's NPI number?

The NPI number for Jared Moore is 1679971865. It was assigned to this individual provider in the NPPES registry on December 20, 2014.

Where is Jared Moore located?

Jared Moore practices at 4701 Pine St Apt. B13, Philadelphia, PA 19143. The listed phone number is (201) 310-6508.

What is Jared Moore'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 Jared Moore was last updated on June 20, 2018. 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.