MS. TRACIE MOORE PH.D.
NPI 1710139720
Psychologist - Clinical in Twain Harte, CA

Q: What is Tracie Moore's NPI number?

The NPI number for Tracie Moore is 1710139720. It was assigned to this individual provider in the NPPES registry on October 21, 2008.

Q: What is Tracie 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 Tracie Moore was last updated on October 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 October 21, 2008

22569 MIDDLE CAMP RD, TWAIN HARTE, CA 95383(209) 586-3707(209) 586-3707 Get Directions Write a Review

NPPES record last updated: October 21, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Ms. Tracie Moore Ph.d. NPPES

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

MS. TRACIE MOORE PH.D. (NPI 1710139720) is an individual clinical provider in Twain Harte, California, licensed in California (12107) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1710139720

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMS. TRACIE MOORECredential: PH.D.

Location Address22569 MIDDLE CAMP RDTwain Harte, CA 95383-9681

Mailing Address22569 Middle Camp RdTwain Harte, CA 95383-9681 · (209) 586-3707 · Fax (209) 586-3707

Phone(209) 586-3707

Fax(209) 586-3707

Sole ProprietorYes

Enumeration DateOctober 21, 2008

✔ NPI 1710139720 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 · 12107

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.

22569 MIDDLE CAMP RD, Twain Harte, CA 95383

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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 Tracie Moore's NPI number?

The NPI number for Tracie Moore is 1710139720. It was assigned to this individual provider in the NPPES registry on October 21, 2008.

Where is Tracie Moore located?

Tracie Moore practices at 22569 Middle Camp Rd, Twain Harte, CA 95383. The listed phone number is (209) 586-3707.

What is Tracie 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 Tracie Moore was last updated on October 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.