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

Dr. Mark Moore, PHD

Individual provider Prescribing (Medical) Psychologist · NPI 1669690905

Dr. Mark Moore, PHD is a Clinical Psychologist in Philadelphia, Pennsylvania. Qualified in 2003, 23 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
23
Licensed in
PA
In the registry since
2007
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

230 W Washington Sq 2nd Fl
Philadelphia, PA 19106-3500
Phone: (215) 829-6088
Fax: (215) 829-6104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prescribing (Medical) Psychologist (primary) Taxonomy 103TP0016X · Licence PS015627 (PA)

Record details

NPI number1669690905
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedApril 23, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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