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SUSANNA MCKEAN MOORE PHD
NPI 1932245776
Psychologist - Clinical in Oakland, CA

Active since January 29, 2007
1501 FRUITVALE AVE, OAKLAND, CA 94601(510) 535-6200(510) 535-4167 Get Directions Write a Review

NPPES record last updated: October 29, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susanna Mckean Moore Phd NPPES

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

SUSANNA MCKEAN MOORE PHD (NPI 1932245776) is an individual clinical provider in Oakland, California, licensed in California (PSY20756) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1932245776
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSUSANNA MCKEAN MOORECredential: PHD
Location Address1501 FRUITVALE AVEOakland, CA 94601-2322
Mailing Address1501 Fruitvale AveOakland, CA 94601-2322 · (510) 535-6200 · Fax (510) 535-4167
Phone(510) 535-6200
Fax(510) 535-4167
Sole ProprietorNo
Enumeration DateJanuary 29, 2007
Last NPPES UpdateOctober 29, 2014
✔ NPI 1932245776 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 · PSY20756
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.
1501 FRUITVALE AVE, Oakland, CA 94601
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Other Identifiers 3

OtherZZZ29799ZCA · Medicare Part B
Other05-1063CA · Medicare Part A
Medicare UPINDP918ZCA

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.

ENRIQUE LOPEZ-CASTRO
Counselor
1501 FRUITVALE AVE
OAKLAND, CA 94601
Alameda County (510) 535-6200
VICTORIA TINOCO
Case Manager/Care Coordinator
1501 FRUITVALE AVE
OAKLAND, CA 94601
Alameda County (510) 535-6200
FUENSANTA BOTELLO MD
Psychiatry & Neurology (Psychiatry)
1501 FRUITVALE AVE
OAKLAND, CA 94601
Alameda County (510) 535-6200
MOLSES GARCIA LEMUS MFT
Marriage & Family Therapist
1501 FRUITVALE AVE
OAKLAND, CA 94601
Alameda County (510) 535-6200
LUZ ISLAS BYRD MFT
Marriage & Family Therapist
1501 FRUITVALE AVE
OAKLAND, CA 94601
Alameda County (510) 535-6200
SEAN SEWARD-KATZMILLER MFT INTERN
Marriage & Family Therapist
1501 FRUITVALE AVE
OAKLAND, CA 94601
Alameda County (510) 535-6200
ANA MARIA GARCIA-RUBIO
Marriage & Family Therapist
1501 FRUITVALE AVE
OAKLAND, CA 94601
Alameda County (510) 535-6200
OSCAR CONTRERAS
Social Worker
1501 FRUITVALE AVE
OAKLAND, CA 94601
Alameda County (510) 535-6200

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 Susanna Moore's NPI number?

The NPI number for Susanna Moore is 1932245776. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Susanna Moore located?

Susanna Moore practices at 1501 Fruitvale Ave, Oakland, CA 94601. The listed phone number is (510) 535-6200.

What is Susanna 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 Susanna Moore was last updated on October 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.