DR. LILLIAN M. MOELLER (NPI# 1215096904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215096904 |
| Entity Type | Individual |
| Full Name | DR. LILLIAN M. MOELLER |
| Credential | PH.D. |
| Practice Address |
10 Boulder Crescent St Ste 101b Colorado Springs CO 80903-3344 |
| Practice Telephone | 7194426955 |
| Practice Fax Number | 7194426947 |
| Mailing Telephone | 7194426955 |
| Mailing Fax Number | 7194426947 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2011-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 1558 | CO | Behavioral Health & Social Service Providers |
| Street Address |
10 BOULDER CRESCENT ST STE 101B |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80903-3344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396996484 | Lillian M. Moeller, Ph.d., P.C. | Clinical Neuropsychologist | 10 Boulder Crescent St Ste 101b, Colorado Springs, CO 80903-3344 | 2008-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1164045407 | Lajanae Davis | Behavior Technician | 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1144855321 | Quinn Macdonald | Specialist/Technologist | 1332 N Weber Street, Colorado Springs, CO 80903 | 2020-03-08 |
| 1043784994 | Neuro Peak Performance, LLC | Counselor | 801 N. Weber St Suite 101, Colorado Springs, CO 80903 | 2019-01-14 |
| 1356828297 | Heart of The Phoenix, LLC | Social Worker | 1422 N Hancock Ave Ste 1, Colorado Springs, CO 80903 | 2018-07-24 |
| 1699269290 | Jenevieve Marie Briand | Day Training/Habilitation Specialist | 427 E Colorado Ave Ste 225, Colorado Springs, CO 80903 | 2018-06-18 |
| 1669983292 | Robin Dina Shankman | Massage Therapist | 127 E. Las Animas, Colorado Springs, CO 80903 | 2017-10-23 |
| 1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
| 1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
| 1093267890 | Brittany Nicole Holmes | Behavioral Analyst | 938 S Sierra Madre, Colorado Springs, CO 80903 | 2016-10-27 |
| Find all providers in zip 80903 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609485648 | Poudre Valley Medical Group, LLC | Clinical Neuropsychologist | 175 S Union Blvd Ste 240, Colorado Springs, CO 80910-3125 | 2020-07-27 |
| 1972048098 | Neurofeedback Colorado Springs, Inc. | Clinical Neuropsychologist | 2918 Beacon St Ste A, Colorado Springs, CO 80907-9208 | 2016-12-28 |
| 1316252521 | James C Stewart Phd Professional Corporation | Clinical Neuropsychologist | 2020 Bramblwood Ln, Colorado Springs, CO 80920-1588 | 2010-08-11 |
| 1386962231 | Cassie Ann Faulhaber | Clinical Neuropsychologist | 4863 N. Nevada Ave., Ste. 321, Colorado Springs, CO 80918 | 2010-05-16 |
| 1184941726 | Cassie Faulhaber, Psy.d., Pllc | Clinical Neuropsychologist | 4863 N. Nevada, Suite 321, Colorado Springs, CO 80918 | 2010-04-21 |
| 1629301429 | David Jeffrey Stephens | Clinical Neuropsychologist | 402 Garden of The Gods Rd, Colorado Springs, CO 80907 | 2009-09-10 |
| 1083779847 | John Manuel Bermudez | Clinical Neuropsychologist | 2930 Austin Bluffs Pkwy, Suite 102, Colorado Springs, CO 80918-5763 | 2006-12-22 |
| 1851499305 | David Shapiro | Clinical Neuropsychologist | 1301 8th Street, Suite 301, Colorado Springs, CO 80906 | 2006-09-20 |
| 1518902402 | Julie Denise Rippeth | Clinical Neuropsychologist | 4820 Rusina Rd Ste C, Colorado Springs, CO 80907-8127 | 2006-06-17 |
| 1851874150 | Jace Michael Waguspack | Clinical Neuropsychologist | 1725 E Boulder St Ste 101, Colorado Springs, CO 80909-5740 | 2018-09-12 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80903 |
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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.