Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alicia Moore

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1952628455

Alicia Moore is a Clinical Psychologist in San Pablo, California. Qualified in 2014, 12 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2010
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Practice location Address checks out

1515 Market Ave
San Pablo, CA 94806-4357
Phone: (510) 232-7571
Fax: (510) 235-2545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1952628455
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 23, 2010
Last updated in NPPESJuly 21, 2022
Mailing address1515 Market Ave, San Pablo, CA 94806

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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