DR. AUBREY LEE MOORE III (NPI# 1093708737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093708737 |
| Entity Type | Individual |
| Full Name | DR. AUBREY LEE MOORE III |
| Credential | PH.D. |
| Practice Address |
3643 Walton Way Ext Augusta GA 30909-4507 |
| Mailing Address |
320 Gardenia Dr Evans GA 30809-8239 |
| Practice Telephone | 7067299595 |
| Practice Fax Number | 7067290332 |
| Mailing Telephone | 7062841054 |
| Mailing Fax Number | 7067290332 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2016-08-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY002012 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558856492 | Aubrey Moore | Dietitian, Registered | 1195 Old Hickory Blvd Ste 201, Brentwood, TN 37027-4239 | 2018-06-23 |
| 1598960080 | Aubrey Glynn Moore | Family Medicine | 143 Hwy 32 Byp, Michael S. Deen M.d., Alma, GA 31510-2757 | 2007-06-15 |
| 1114574266 | Aubrey Moore | Counselor | 1909 Commerce Ave, Cullman, AL 35055-6151 | 2019-08-23 |
| 1003379512 | Aubrey Moore | Behavior Technician | 1760 Bass Rd Ste 102, Macon, GA 31210-1098 | 2019-04-11 |
| 1932519907 | Aubrey Moore | Counselor | 13160 County Rd 3610, Saint James, MO 65559-0189 | 2014-04-30 |
| 1235485038 | Aubrey Kendall Moore | Dentist | 13611 Skinner Rd, Cypress, TX 77429-1018 | 2012-07-30 |
| Street Address |
3643 WALTON WAY EXT |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-4507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477546190 | Paul Andrew Walters IIi | Psychologist | 3643 Walton Way Ext, Augusta, GA 30909-4507 | 2005-08-29 |
| 1952879553 | Delma Jimenez | Counselor | 3643 Walton Way Ext, Augusta, GA 30909-4507 | 2018-11-13 |
| 1457834897 | Vanesha Brown | Counselor | 3643 Walton Way Ext, Augusta, GA 30909-4507 | 2018-09-12 |
| 1699281568 | Peggy Arlene Harmon | Counselor | 3643 Walton Way Ext, Augusta, GA 30909-4507 | 2017-12-14 |
| 1235644139 | Jessica Wiley | Counselor | 3643 Walton Way Ext, Augusta, GA 30909-4507 | 2017-12-13 |
| 1154845634 | Tatianna S Jones | Counselor | 3643 Walton Way Ext, Augusta, GA 30909-4507 | 2017-07-27 |
| 1386176642 | Adebayo Onabule | Counselor | 3643 Walton Way Ext, Building 4, Augusta, GA 30909-4507 | 2017-03-28 |
| 1407387665 | Raven Littlejohn | Counselor | 3643 Walton Way Ext, Building 4, Augusta, GA 30909-4507 | 2017-03-21 |
| 1649701780 | Jasmine Patterson | Counselor | 3643 Walton Way Ext, Building 4, Augusta, GA 30909-4507 | 2017-03-21 |
| 1295274389 | Alberto Benitez | Counselor | 3643 Walton Way Ext, Augusta, GA 30909-4507 | 2017-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417478090 | Marie Darden | Psychologist | Augusta University Dept of Psych and Health, Augusta, GA 30912-0001 | 2017-07-04 |
| 1396012852 | Servicorp Resource Center, Inc. | Psychologist | 1904 Highland Avenue, Augusta, GA 30904 | 2011-11-28 |
| 1598042111 | Adrian Janit Psychlsvcs LLC | Psychologist | 3730b Executive Center Dr, Augusta, GA 30907-2360 | 2011-11-10 |
| 1427370014 | Susan Waldron Newkirk-sanborn | Psychologist | 250 Arsenal St., 11 State House Station, Augusta, ME 04333-0011 | 2010-02-23 |
| 1609926831 | Diane Sue Solursh | Psychologist | 2301 Wrightsboro Road, Augusta, GA 30904 | 2007-01-11 |
| 1902955511 | Jesse F Lewis | Psychologist | 3540 Wheeler Rd Ste 415, Augusta, GA 30909-1888 | 2007-01-10 |
| 1326122870 | Kairos: Following The Heart | Psychologist | 753 Broad St Ste 405, Augusta, GA 30901-1385 | 2006-10-24 |
| 1417048398 | Rebecca L. Jump | Psychologist | 211 Pleasant Home Rd Ste G1, Augusta, GA 30907-0560 | 2006-09-27 |
| 1124129333 | Sadie C Maguire | Psychologist | 448 Telfair Street, Augusta, GA 30901 | 2006-09-26 |
| 1487757720 | Mary Ellison Brouillard | Psychologist | #1 Freedom Way (26), Augusta, GA 30904-6285 | 2006-09-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.