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NPI · 1487735940 · NPPES-sourced

Dr. Mary Ellen Moore Ph D

ActiveClinical Psychologist
NPI Number
1487735940
Type 1 · Individual
Taxonomy Code
103TC0700X
Contact
(312) 806-1885
License IL · 071002095
Last Updated
Enumerated
Primary practice addressIL · 60632-1629
2648 W Pershing RdChicago, IL 60632-1629
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About this NPIWhat this record shows.

NPI 1487735940 is registered to Dr. Mary Ellen Moore Ph D, a Clinical Psychologist practising at 2648 W Pershing Rd in Chicago, Illinois. Clinical Psychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Mary Ellen Moore Ph D has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Mary Ellen Moore Ph D accepts. To confirm in-network status with your specific health plan, contact Dr. Mary Ellen Moore Ph D directly at (312) 806-1885.

Frequently asked

Yes. NPI 1487735940 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Psychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (312) 806-1885.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Mary Ellen Moore Ph D is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy103TC0700X
Last updated
Enumerated
StatusActive
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