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

Kathleen Moore, PHD

Individual provider Psychologist · NPI 1457399578

Kathleen Moore, PHD is a Clinical Psychologist in Birmingham, Michigan. Qualified in 1991, 35 years ago. Practices with University Physician Group, a 402-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
35
Licensed in
MI
In the registry since
2006
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

725 S Adams Rd Ste 222
Birmingham, MI 48009-6902
Phone: (248) 540-7007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6301006114 (MI)

Record details

NPI number1457399578
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESMay 26, 2023
Certification dateMay 26, 2023
Mailing address725 S Adams Rd, Suite 222, Birmingham, MI 48009-6902

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice University Physician Group — 402 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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