CAROL MOOG (NPI# 1740899830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740899830 |
| Entity Type | Individual |
| Full Name | CAROL MOOG |
| Credential | PHD |
| Practice Address |
301 Kent Rd Bala Cynwyd PA 19004-2823 |
| Practice Telephone | 6106671540 |
| Mailing Telephone | 6106671540 |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PS002694L | PA | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | PS002604L | PA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PS002604L | PA | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
PS002604L | PA | Behavioral Health & Social Service Providers |
| Street Address |
301 KENT RD |
| City | BALA CYNWYD |
| State | PA |
| Zip Code | 19004-2823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707819 | Katherine Lesher | Psychologist | 2 Bala Plaza Pl-13, Bala Plaza, PA 19004 | 2020-07-16 |
| 1144749342 | Apthcs | In Home Supportive Care | 150 Monument Road Suite 207, Bala Cynwyd, PA 19004 | 2017-09-19 |
| 1508389222 | Miriam Ray | Social Worker | 15 Montgomery Ave Apt 2b, Bala Cynwyd, PA 19004 | 2017-07-25 |
| 1003363235 | Catherine Kazanjian | Nurse Practitioner | 333 E City Ave Ste Il27, Bala Cynwyd, PA 19004 | 2016-09-06 |
| 1295181717 | Ruth Sampson-pilgrim | Nurse Practitioner | 160 Rock Hill Road, Vista Medical Services, Balacynwood, PA 19004 | 2016-05-13 |
| 1902252414 | Nurse Plus Home Care Agency,llc | In Home Supportive Care | Two Bala Plaza, Pmb #516, Suite 300, Bala Cynwyd, PA 19004 | 2016-05-13 |
| 1386010999 | Joan Lyall | Speech-Language Pathologist | 113 Ashland Avenue, Bala Cynwyd, PA 19004 | 2015-08-18 |
| 1922349158 | May W. Lee | Pediatrics | 130 E. Levering Mill Road, Bala Cynwyd, PA 19004 | 2013-03-13 |
| 1023362423 | Justin Carl Lavo | Physical Therapist | 100 Presidental Boulevard, Bala Cynwyd, PA 19004 | 2012-11-07 |
| 1689961765 | Cassio Castro | Dentist | 147 Montgomery Avenue, Bala Cynwyd, PA 19004 | 2011-07-08 |
| Find all providers in zip 19004 | ||||
| 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 |
|---|---|---|---|---|
| 1427697077 | Norma Lefkovitz | Psychologist | 310 Cynwyd Rd, Bala Cynwyd, PA 19004-2634 | 2019-12-30 |
| 1770066755 | Center for Loss and Recovery LLC | Psychologist | 115 Cynwyd Rd Fl 3, Bala Cynwyd, PA 19004-3022 | 2018-09-14 |
| 1578075990 | Nancy Dreyfus | Psychologist | 32 Conshohocken State Rd Apt F1, Bala Cynwyd, PA 19004-3321 | 2017-10-25 |
| 1740634476 | Gary Feldman | Psychologist | 126 Birch Ave, Bala Cynwyd, PA 19004-3011 | 2016-04-19 |
| 1639594898 | Williametta Simmons | Psychologist | 1 Bala Ave Ste 110, Bala Cynwyd, PA 19004-3207 | 2014-02-25 |
| 1669746996 | Taft Psychological Services | Psychologist | 3 W Newfield Way, Bala Cynwyd, PA 19004-3304 | 2012-03-05 |
| 1982839270 | Rochelle H. Goldman | Psychologist | 107 Bentley Ave, Bala Cynwyd, PA 19004-2805 | 2009-05-15 |
| 1659553592 | Christianne Hopwood | Psychologist | 111 N Presidential Blvd Ste 237, Bala Cynwyd, PA 19004-1012 | 2007-12-03 |
| 1265637722 | David Ramirez | Psychologist | 104 Bala Ave, Bala Cynwyd, PA 19004-3003 | 2007-06-15 |
| 1467597237 | Lynn Rachel Siegel | Psychologist | 191 Presidential Blvd Suite 113, Bala Cynwyd, PA 19004 | 2007-02-20 |
| Find all providers in BALA CYNWYD | ||||
| City | BALA CYNWYD |
| Zip Code | 19004 |
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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.