MR. DONALD ROBERT MOORE (NPI# 1124182969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124182969 |
| Entity Type | Individual |
| Full Name | MR. DONALD ROBERT MOORE |
| Practice Address |
914 Mission Ave San Rafael CA 94901-6106 |
| Mailing Address |
820 Lakeville Cir Petaluma CA 94954-5739 |
| Practice Telephone | 4154571925 |
| Mailing Telephone | 4154571925 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811159932 | Donald Michael Moore | Home Health Aide | 10002 Waving Fields Dr, Houston, TX 77064-4430 | 2008-06-30 |
| 1801070537 | Donald D Moore II | Speech-Language Pathologist | 722 S Broad St, Clayton, NJ 08312-2132 | 2007-12-17 |
| 1518175009 | Donald F. Moore | Chiropractor | 215 Perry Ave, Dothan, AL 36303-2535 | 2007-05-18 |
| 1134256829 | Donald Thomas Moore | Psychologist | 8271 Melrose Avenue #102, Los Angeles, CA 90046 | 2007-02-28 |
| 1619030624 | Donald A Moore | Dentist | 7715 Old Hammond Hwy, Baton Rouge, LA 70809-1224 | 2006-12-19 |
| 1417050683 | Donald E Moore | General Practice | 41 Eastern Pkwy, Suite 1b, Brooklyn, NY 11238-5934 | 2006-09-06 |
| 1235133562 | Donald Halstead Moore | Emergency Medicine | 1097 Fledderjohn Rd, Ste 1, Charleston, WV 25314 | 2005-06-01 |
| 1477154664 | Donald Raymond Moore | Pharmacist | 4810 North St, Nacogdoches, TX 75965-1876 | 2020-11-04 |
| 1710483417 | Donald Lee Moore Jr. | Student in an Organized Health Care Education/Training Program | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2018-04-02 |
| 1497910079 | Donald R Moore | Counselor | 5470 Chene St, Detroit, MI 48211-2746 | 2008-07-23 |
| Street Address |
914 MISSION AVE |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-6106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972688927 | Eric Scott Roberts | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2006-10-26 |
| 1780132076 | Ignacio Gallegos Jr. | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2016-09-14 |
| 1568731131 | Sacha C Mcgowan | Counselor | 914 Mission Ave, San Rafael, CA 94901-6106 | 2011-12-27 |
| 1396055729 | Mischelle Williamson | Counselor | 914 Mission Ave, 3 Rd Floor, San Rafael, CA 94901 | 2010-10-19 |
| 1417276403 | John Daniel Heibel | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2010-05-31 |
| 1619290376 | Buckelew Programs | Community/Behavioral Health | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2010-03-10 |
| 1073845590 | Susan Jane Thomas-sampson | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2010-02-09 |
| 1891026670 | Patricia Barret | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2010-01-19 |
| 1467783415 | Kalia Lynn Chan | Counselor | 914 Mission Ave, San Rafael, CA 94901-6106 | 2010-01-14 |
| 1669702221 | Kristina Aileen Danz | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2010-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851830483 | Bea Ivory-chambers | Counselor | 1330 Lincoln Ave Ste 202b, San Rafael, CA 94901-2142 | 2017-02-15 |
| 1932559069 | Julia Prentice | Counselor | 920 Cresta Way, #6, San Rafael, CA 94903-5573 | 2016-06-20 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1033528575 | Diane Louise Ray | Counselor | 4 Majorca Ct, San Rafael, CA 94903-1520 | 2014-08-08 |
| 1487072542 | Julie Lehman | Counselor | 1717 5th Ave Ste E, San Rafael, CA 94901-1810 | 2014-04-04 |
| 1073867081 | Lisa Ann Kubiak | Counselor | 900 Mission Ave, San Rafael, CA 94901-6108 | 2012-10-30 |
| 1740530815 | Deborah Ann Spake | Counselor | 712 D St. Suite P, San Rafael, CA 94901 | 2012-09-14 |
| 1386993210 | Sarah Tischler Aikin | Counselor | 555 Northgate Drive, Suite 100, Family Service Agency of Marin, San Rafael, CA 94903-3680 | 2012-09-06 |
| 1477810182 | Amanda Gloria Jean Conn | Counselor | 980 Lincoln Ave Ste 250, San Rafael, CA 94901-8802 | 2012-04-19 |
| 1558647487 | Katherine O Bregar | Counselor | 361 Third St. Suite G, San Rafael, CA 94901 | 2011-10-24 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on MR. DONALD ROBERT MOORE.
| 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.