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

Individual provider Clinical Psychologist · NPI 1932245776

Susanna McKean Moore, PHD is a Clinical Psychologist in Oakland, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

1501 Fruitvale Ave
Oakland, CA 94601-2322
Phone: (510) 535-6200
Fax: (510) 535-4167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY20756 (CA)

Record details

NPI number1932245776
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 29, 2007
Last updated in NPPESOctober 29, 2014

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