DR. EVERRETT MOORE PHD
NPI 1740072305
Psychologist in Southlake, TX

Active since May 20, 2025
1130 N KIMBALL AVE STE 120, SOUTHLAKE, TX 76092(940) 278-8664 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Everrett Moore Phd NPPES

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

DR. EVERRETT MOORE PHD (NPI 1740072305) is an individual psychologist in Southlake, Texas, licensed in Texas (40164) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1740072305
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. EVERRETT MOORECredential: PHD
Location Address1130 N KIMBALL AVE STE 120Southlake, TX 76092-4745
Mailing Address1130 N Kimball Ave Ste 120Southlake, TX 76092-4745 · (940) 278-8664
Sole ProprietorYes
Enumeration DateMay 20, 2025
NPPES CertifiedMay 20, 2025
NPI 1740072305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in TX · 40164
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1130 N KIMBALL AVE STE 120, Southlake, TX 76092

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Counseling)
1130 N KIMBALL AVE STE 120
SOUTHLAKE, TX 76092

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 Everrett Moore's NPI number?

The NPI number for Everrett Moore is 1740072305. It was assigned to this individual provider in the NPPES registry on May 20, 2025.

Where is Everrett Moore located?

Everrett Moore practices at 1130 N Kimball Ave Ste 120, Southlake, TX 76092. The listed phone number is (940) 278-8664.

What is Everrett Moore's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Everrett Moore was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.