DR. TODD ELLIOTT MOORE (NPI# 1649303876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649303876 |
| Entity Type | Individual |
| Full Name | DR. TODD ELLIOTT MOORE |
| Credential | M.D. |
| Practice Address |
8303 Platt Rd Center for Forensic Psychiatry Saline MI 48176-9773 |
| Mailing Address |
11556 Algonquin Dr Pinckney MI 48169-9520 |
| Practice Telephone | 7342954283 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
4301067744 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083627020 | Todd O Moore | Colon & Rectal Surgery | 711 E Lamar Blvd Ste 200, Arlington, TX 76011-3800 | 2006-08-14 |
| 1225014178 | Todd A Moore | Internal Medicine | 220 Page Rd, Pinehurst, NC 28374-8748 | 2005-12-21 |
| 1366427742 | Todd L Moore | Chiropractor | 1310 Rr 620 S, Ste B-4, Lakeway, TX 78734-6300 | 2005-12-08 |
| 1427480599 | Todd Michael Moore | Psychologist | 1111 Northshore Drive, Suite S-490, Knoxville, TN 37919 | 2013-07-31 |
| 1053643445 | Todd A Moore | Rehabilitation Practitioner | 9808 Venice Blvd, Suite 700, Culver City, CA 90232-2732 | 2010-02-09 |
| 1336265891 | Todd Moore | Driver | 19401 S Vermont Ave, Suite A-200, Torrance, CA 90502-1029 | 2007-03-22 |
| 1922106699 | Todd Moore | Student in an Organized Health Care Education/Training Program | 625 Elmwood Ave, Box 683, Rochester, NY 14620-2913 | 2006-09-20 |
| Street Address |
8303 PLATT RD CENTER FOR FORENSIC PSYCHIATRY |
| City | SALINE |
| State | MI |
| Zip Code | 48176-9773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942254321 | State of Michigan | Pharmacy | 8303 Platt Rd, Saline, MI 48176-9773 | 2006-05-20 |
| 1396382529 | Nina Maclean | Psychologist | 8303 Platt Rd, Saline, MI 48176-9773 | 2019-12-06 |
| 1144861113 | Elyse Rae Komarzec | Occupational Therapist | 8303 Platt Rd, Saline, MI 48176-9773 | 2019-10-01 |
| 1770141525 | Joi-sheree' Knighton | Psychologist | 8303 Platt Rd, Saline, MI 48176-9773 | 2019-06-05 |
| 1508345075 | Valerie Andrews | Registered Nurse | 8303 Platt Rd, Saline, MI 48176-9773 | 2018-08-07 |
| 1811494057 | Iren Assar | Psychologist | 8303 Platt Rd, Saline, MI 48176-9773 | 2018-04-12 |
| 1669924924 | Stacia N. Gessner | Psychologist | 8303 Platt Rd, Saline, MI 48176-9773 | 2016-11-02 |
| 1952856908 | Joshua Eblin | Psychologist | 8303 Platt Rd, Saline, MI 48176-9773 | 2016-08-19 |
| 1760833503 | Jarrad William Morgan | Psychiatry & Neurology | 8303 Platt Rd, Saline, MI 48176-9773 | 2016-06-22 |
| 1659735587 | Alexandra Krieg Audu | Psychiatry & Neurology | 8303 Platt Rd, Saline, MI 48176-9773 | 2016-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093291171 | Mariah Lewis | Dietitian, Registered | 123 N Ann Arbor St, Saline, MI 48176 | 2018-07-12 |
| 1801321310 | Jennifer Simms-coffey | Social Worker | 7330 East Michigan Ave, Saline, MI 48176 | 2017-04-23 |
| 1922357540 | Stacy Lyn Buckingham | Social Worker | 135 E Bennett St Ste 21, Saline, MI 48176 | 2012-08-29 |
| 1669605705 | Quantum Physical Therapy - Pittsfield | Physical Therapist | 6180 W Michigan Avenue, Saline, MI 48176 | 2009-08-24 |
| 1306074133 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 7000 East Michgan Ave., Saline, MI 48176 | 2009-07-01 |
| 1912142126 | Joribet Med Equipment Inc. | General Practice | 525 E Michigan Ave, #414, Saline, MI 48176 | 2008-12-03 |
| 1912152497 | Susan A Labovich | Physical Therapist | 6180 W. Michigan Avenue, Saline, MI 48176 | 2008-11-25 |
| 1477703957 | Brooke L Sharp | Chiropractor | 137a E. Michigan Ave, Saline, MI 48176 | 2008-09-22 |
| 1376739920 | Asha Jane Kinra | Dentist | 146 South Industrial Dr., Saline, MI 48176 | 2007-09-18 |
| 1295951523 | James Kevin Hicks | Pharmacist | Busch's Pharmacy, 565 E. Michigan Ave, Saline, MI 48176 | 2007-04-17 |
| Find all providers in zip 48176 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598970774 | Diane Edwards Heisel | Psychiatry & Neurology | 8303 Platt Rd, Saline, MI 48176-9773 | 2007-05-11 |
| 1407061625 | Corrine Mary Godwin Caughran | Psychiatry & Neurology | 8303 Platt Rd, Saline, MI 48176-9773 | 2007-05-11 |
| 1396950499 | Deolixto Matias Pascual | Psychiatry & Neurology | 8303 Platt Rd, Saline, MI 48176-9773 | 2007-05-11 |
| 1861617706 | Oris Christopher Newman | Psychiatry & Neurology | 8303 Platt Rd, Saline, MI 48176-9773 | 2007-04-16 |
| 1922104421 | Ernest Poortinga | Psychiatry & Neurology | 8303 Platt Rd, Saline, MI 48176-9773 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346689130 | Thomas William Behrmann | Psychiatry & Neurology | 711 Mooreville Rd, Milan, MI 48160-9564 | 2013-06-14 |
| 1376884049 | Steven Alan Myers V | Psychiatry & Neurology | 144 Candee Ln, Marquette, MI 49855-9302 | 2013-03-06 |
| 1225331234 | Lynn Waldo Blunt Sr. | Psychiatry & Neurology | 2954 Philadelphia Dr, Ann Arbor, MI 48103-6813 | 2010-12-13 |
| 1154518512 | Kirtida A Patel | Psychiatry & Neurology | 3201 Bemis Road, Huron Valley Complex-men's, Ypsilanti, MI 48197 | 2007-10-01 |
| 1396965448 | Rita Garg | Psychiatry & Neurology | Center for Forensic Psychiatry, Box2060, Ann Arbor, MI 48106-2060 | 2007-04-30 |
| 1457409088 | Gerald Alan Shiener | Psychiatry & Neurology | 251 E Merrill St, Suite 230, Birmingham, MI 48009-6121 | 2007-01-08 |
| 1588726921 | Eleanor M Medina | Psychiatry & Neurology | 60 Balfour Dr, Bloomfield Hills, MI 48304-2100 | 2006-12-14 |
| 1518044585 | Thomas O Osinowo | Psychiatry & Neurology | 730 N Monroe St # 200, Monroe, MI 48162-2972 | 2006-11-01 |
| 1053412361 | Leonard David Mcdermid | Psychiatry & Neurology | 4867 Michigan Trail, Eastport, MI 49627-0267 | 2006-09-26 |
| 1700812765 | Harriette Denice Green | Psychiatry & Neurology | 109 Lawrence St, Detroit, MI 48202-1045 | 2006-06-23 |
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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.