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

Dr. Mary Ann Moore, PSYD

Individual provider Clinical Psychologist · NPI 1770197766

Dr. Mary Ann Moore, PSYD is a Clinical Psychologist in Johnson City, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2020
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

See every abbreviation used in this directory →

Practice location Address checks out

679 Main St
Johnson City, NY 13790-1716
Phone: (607) 237-0645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 119 Oconnell Rd, Vestal, NY 13850-6001 — (607) 239-8063

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 011128-1 (NY)

Record details

NPI number1770197766
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedSeptember 7, 2020
Last updated in NPPESSeptember 7, 2020
Certification dateSeptember 7, 2020

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