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

Individual provider Psychoanalyst · NPI 1649949629

Kerry Moore, PHD, LP is a Psychoanalyst in New York, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2021
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

30 Charlton St Ste 1
New York, NY 10014-4927
Phone: (917) 755-2992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 115 Boyce Rd, Nassau, NY 12123-3012 — (917) 755-2992

Specialties & licences

Psychoanalyst (primary) Taxonomy 102L00000X · Licence 001108 (NY)

Record details

NPI number1649949629
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LP
Sole proprietorYes
NPI enumeratedSeptember 13, 2021
Last updated in NPPESSeptember 13, 2021
Certification dateSeptember 13, 2021

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