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

Justin Anthony Moore

Individual provider Psychologist · NPI 1487005393

Justin Anthony Moore is a Clinical Psychologist in Northfield, Illinois. Qualified in 2017, 9 years ago. Practices with Unify Counseling Inc, a 6-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
9
Licensed in
WI
In the registry since
2016

Practice location Address checks out

400 Central Ave Ste 220
Northfield, IL 60093-3024
Phone: (847) 996-9994
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9751 Watts Rd, Verona, WI 53593-9377 — (973) 851-7255

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 3606-57 (WI)

Record details

NPI number1487005393
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 22, 2016
Last updated in NPPESDecember 1, 2023
Certification dateDecember 1, 2023
Mailing address1189 Wilmette Ave Ste 263, Wilmette, IL 60091-2719

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Unify Counseling Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Northfield