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

Jose Luis Moreno, PHD

Individual provider Psychologist · NPI 1497203897

Jose Luis Moreno, PHD is a Clinical Psychologist in Columbus, Ohio. Qualified in 2015, 11 years ago. Practices with Osu Psychiatry LLC, a 134-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
11
Licensed in
OH
In the registry since
2016
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

1670 Upham Dr
Columbus, OH 43210-1250
Phone: (614) 293-9600
Fax: (614) 366-1215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence P.7510 (OH)

Record details

NPI number1497203897
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedSeptember 14, 2016
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026
Mailing address700 Ackerman Rd Ste 2100, Columbus, OH 43202-1559

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Osu Psychiatry Llc — 134 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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