KATHRYN ELAINE MOORE PHD
NPI 1730614660
Psychologist - School in Midwest City, OK

Active since April 28, 2017PECOS Enrolled
1212 S AIR DEPOT BLVD STE 17, MIDWEST CITY, OK 73110(405) 355-6868 Get Directions Write a Review

NPPES record last updated: April 28, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kathryn Elaine Moore Phd NPPES

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

KATHRYN ELAINE MOORE PHD (NPI 1730614660) is an individual school provider in Midwest City, Oklahoma and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730614660
Entity TypeIndividualFemale
Primary Taxonomy103TS0200X
Provider Legal NameKATHRYN ELAINE MOORECredential: PHD
Location Address1212 S AIR DEPOT BLVD STE 17Midwest City, OK 73110-4860
Mailing Address1212 S Air Depot Blvd Ste 17Midwest City, OK 73110-4860 · (405) 355-6868
Sole ProprietorNo
Enumeration DateApril 28, 2017
✔ NPI 1730614660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
Definition
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
1212 S AIR DEPOT BLVD STE 17, Midwest City, OK 73110

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Elaine Moore Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kathryn Moore reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1200 CHILDRENS AVE STE 11200
Oklahoma City, OK 73104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,795 clinicians in this Medicare group
Multi-Specialty
825 NE 10TH ST
Oklahoma City, OK 73104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 845 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Behavior Technician
1212 S AIR DEPOT BLVD STE 17
MIDWEST CITY, OK 73110
Behavior Technician
1212 S AIR DEPOT BLVD STE 17
MIDWEST CITY, OK 73110
Behavior Technician
1212 S AIR DEPOT BLVD STE 17
MIDWEST CITY, OK 73110
Behavior Technician
1212 S AIR DEPOT BLVD STE 17
MIDWEST CITY, OK 73110
Behavior Technician
1212 S AIR DEPOT BLVD STE 17
MIDWEST CITY, OK 73110
Occupational Therapy Assistant
1212 S AIR DEPOT BLVD STE 17
MIDWEST CITY, OK 73110
Behavior Technician
1212 S AIR DEPOT BLVD STE 17
MIDWEST CITY, OK 73110
Behavior Technician
1212 S AIR DEPOT BLVD STE 17
OKLAHOMA CITY, OK 73110

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 Kathryn Moore's NPI number?

The NPI number for Kathryn Moore is 1730614660. It was assigned to this individual provider in the NPPES registry on April 28, 2017.

Where is Kathryn Moore located?

Kathryn Moore practices at 1212 S Air Depot Blvd Ste 17, Midwest City, OK 73110. The listed phone number is (405) 355-6868.

What is Kathryn Moore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

Is Kathryn Moore enrolled in Medicare?

Yes. Kathryn Moore is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kathryn Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Moore reassigns Medicare benefits to 2 organizations: Ou Health Partners, Inc (Oklahoma City, OK) and Board Of Regents Of The University Of Oklahoma - Ou Physicians (Oklahoma City, OK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathryn Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathryn Moore accept?

Health plans from Mending Health and Oscar Insurance Company list Kathryn 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 Kathryn Moore was last updated on April 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.