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PHAEDRA MOORE
NPI 1831970011
Counselor - Addiction (Substance Use Disorder) in Boston, MA

Active since October 12, 2023
725 ALBANY ST, BOSTON, MA 02118(617) 414-2283 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phaedra Moore NPPES

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

PHAEDRA MOORE (NPI 1831970011) is an individual addiction (substance use disorder) provider in Boston, Massachusetts and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1831970011
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NamePHAEDRA MOORE
Location Address725 ALBANY STBoston, MA 02118-3549
Mailing Address48 Crescent Street, First FloorWakefield, MA 01880 · (617) 414-2283
Phone(617) 414-2283
Sole ProprietorYes
Enumeration DateOctober 12, 2023
NPPES CertifiedOctober 12, 2023
✔ NPI 1831970011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
725 ALBANY ST, Boston, MA 02118
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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.

TYLER BRECK MARTIN NP
Nurse Practitioner (Family)
725 ALBANY ST, SHAPIRO 3, SUITE A
BOSTON, MA 02118
Suffolk County (617) 414-4886
JEFFREY MARK DRAZEN M.D.
Internal Medicine (Pulmonary Disease)
725 ALBANY ST, SHAPIRO 9, SUITE B
BOSTON, MA 02118
Suffolk County (617) 638-7480
DR. NOOR ANMOL KAUR CHADHA MD, MS
Obstetrics & Gynecology
725 ALBANY ST
BOSTON, MA 02118
Suffolk County (617) 414-2000
DR. KAREN FREUND M.D.
Internal Medicine
725 ALBANY ST, SHAPIRO 5, SUITE A
BOSTON, MA 02118
Suffolk County (617) 638-7428
DR. VIKEN L BABIKIAN M.D.
Psychiatry & Neurology (Neurology)
725 ALBANY ST, SHAPIRO 7, SUITE B
BOSTON, MA 02118
Suffolk County (617) 638-8456
DR. JOHN J CROKE MD
Dermatology
725 ALBANY ST, SHAPIRO 8
BOSTON, MA 02118
Suffolk County (617) 638-7420
DEBORAH ANN MCNEIL NP
Nurse Practitioner (Acute Care)
725 ALBANY ST, SHAPIRO 4, SUITE B
BOSTON, MA 02118
Suffolk County (617) 638-5633
DR. ALEXANDRA R. PIPILAS M.D.
Internal Medicine (Cardiovascular Disease)
725 ALBANY ST, SUITE 7B, SHAPIRO BLDG
BOSTON, MA 02118
Suffolk County (617) 638-7490

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 Phaedra Moore's NPI number?

The NPI number for Phaedra Moore is 1831970011. It was assigned to this individual provider in the NPPES registry on October 12, 2023.

Where is Phaedra Moore located?

Phaedra Moore practices at 725 Albany St, Boston, MA 02118. The listed phone number is (617) 414-2283.

What is Phaedra Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Phaedra Moore was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.