DR. MARY ANN MOORE


Address: 679 Main St, Johnson City, NY 13790-1716
Phone: 6072370645

DR. MARY ANN MOORE (NPI# 1770197766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770197766
Entity Type Individual
Full Name DR. MARY ANN MOORE
Other Name DR. MARY ANN CORRIGAN
Credential PSY.D.
Practice Address 679 Main St
Johnson City
NY 13790-1716
Mailing Address 119 Oconnell Rd
Vestal
NY 13850-6001
Practice Telephone 6072370645
Mailing Telephone 6072398063
Enumeration Date 2020-09-07
Last Update Date 2020-09-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
011128-1 NY Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
119 Oconnell Rd, Vestal, NY 138506001 6072398063

Other Providers MARY ANN MOORE

NPI Name Taxonomy Address Enumeration
1770581019 Mary Ann Devlin Moore Internal Medicine 300 Dorchester Ave, Cambridge, MD 21613-2420 2005-07-11

Office Location

Street Address 679 MAIN ST
City JOHNSON CITY
State NY
Zip Code 13790-1716

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891096574 Justine A J Magurno Family Medicine 679 Main St, Johnson City, NY 13790-1716 2010-11-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578107645 Thomas William Sorber Occupational Therapist 33 Harrison St, Johnson City, Johnson City, NY 13790 2019-11-01
1326534116 Silver Linings Golden Memory Care Clinic/Center 4416 Watson Blvd, Johnson City, NY 13790 2018-07-05
1508308545 Irene Mukeli Nzasi Registered Nurse 156 Corliss Ave Suite 107, Johnson City, NY 13790 2016-11-08
1053867754 Tabitha Rae Toman Physical Therapist 34 Harrison St, Johnson City, NY 13790 2016-09-01
1235685066 Dianne Brunner Physical Therapist 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 2016-08-31
1578982682 Tracy Lynn Brown Optometrist 223 Reynolds Road, Johnson City, NY 13790 2014-04-16
1083041495 Maryann Serbonich Pharmacist 52 Harrison Street, Johnson City, NY 13790 2013-09-30
1134464399 Kasey Connor Folger Speech-Language Pathologist 3 Laurel St., Johnson City, NY 13790 2012-11-29
1467797571 Bodyworks Physical Therapy LLC Clinic/Center 765 Harry L Drive, Johnson City, NY 13790 2012-11-29
1548518400 Melissa L Korosec Nurse Practitioner 30 Harrison St., Suite 250, Johnson City, NY 13790 2012-08-27
Find all providers in zip 13790

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881220697 Rachel Miller Slough Psychologist 801 S Dossett Drive, Johnson City, TN 37614 2020-03-13
1548692692 Jason Lee Steadman Psychologist 1193 Jack Vest Dr, Behavioral Health and Wellness Clinic, Johnson City, TN 37614-6505 2013-07-31
1649345208 Matthew David Johnson Psychologist 240 Riverside Dr Ste 2, Johnson City, NY 13790-2732 2006-11-21
1588670210 Stephen L. Owens Psychologist 302 Sunset Dr Ste 106, Johnson City, TN 37604-2408 2006-08-01
1467476150 Tedd A Stephens Psychologist 2112 N Roan St Fl 6, Johnson City, TN 37601-2519 2006-07-26
1790717411 Nancy L Lanthorn Psychologist 704 E Watauga Ave, Johnson City, TN 37601-4112 2006-07-06
1811960644 Kerry L. Holland Psychologist 807 University Pkwy, 139 Lucille Clement Hall, Johnson City, TN 37614-6500 2006-02-10
1760464937 Heather L Beaudry Psychologist 1907 N Roan St Ste 207, Johnson City, TN 37601-3182 2005-11-15
1184232605 Bess Summerlin Lewis Psychologist Lamont St & Veterans Way, Johnson City, TN 37604 2020-07-21
1245856566 Meredith K Ginley Psychologist 166 Derosier Dr, Johnson City, TN 37614-5200 2020-06-23
Find all providers in JOHNSON CITY

Competitor

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City JOHNSON CITY
Zip Code 13790

Improve Information

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Dataset Information

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.

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