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

Dr. Jacob Alexander Moore, PHD

Individual provider Mental Health Counselor · NPI 1821762220

Dr. Jacob Alexander Moore, PHD is a Clinical Psychologist in Rockville, Maryland. Qualified in 2023, 3 years ago. Practices with Quince Orchard Psychotherapy LLC, a 30-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
3
Licensed in
MD
In the registry since
2021
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

9707 Key West Ave Ste 100
Rockville, MD 20850-3992
Phone: (240) 750-6467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 07251 (MD)
Mental Health Counselor Taxonomy 101YM0800X · Licence A0611 (MD)

Record details

NPI number1821762220
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 9, 2021
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Quince Orchard Psychotherapy Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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