DR. DANA W MOORE (NPI# 1851798698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851798698 |
| Entity Type | Individual |
| Full Name | DR. DANA W MOORE |
| Other Name | DR. DANA WIEBE |
| Credential | PH.D. |
| Practice Address |
69 Sand Pit Rd Suite 300 Danbury CT 06810-4004 |
| Practice Telephone | 2037482551 |
| Practice Fax Number | 2037906375 |
| Mailing Telephone | 2037482551 |
| Mailing Fax Number | 2037906375 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2016-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 3392 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518515527 | Dana Moore | Counselor | 128 W Franklin St, Carthage, MS 39051-3700 | 2019-09-03 |
| 1396045316 | Dana Moore | Counselor | 950 Canyon Rd., Santa Fe, NM 87501 | 2010-10-25 |
| 1043878614 | Dana Moore | Case Manager/Care Coordinator | 415 Glensprings Dr Ste 201, Cincinnati, OH 45246-2353 | 2019-05-30 |
| 1194183384 | Dana Harrison Moore | Registered Nurse | 20 W Bank St, Petersburg, VA 23803-3279 | 2016-02-03 |
| 1679952881 | Dana Moore | Acupuncturist | 790 Concourse Vlg W, #21a, Bronx, NY 10451-3804 | 2015-05-20 |
| 1154710580 | Dana L. Moore | Dietetic Technician, Registered | 4721 Reading Rd, Cincinnati, OH 45237-6107 | 2015-01-22 |
| 1992107411 | Dana Lewis Moore | Nurse Practitioner | 104 Fairview Park Dr, Dublin, GA 31021-2500 | 2014-09-16 |
| 1265770051 | Dana E Moore | Counselor | 78 Pomeroy Ter, Northampton, MA 01060-3378 | 2013-01-29 |
| 1184961534 | Dana Lynn Moore | Speech-Language Pathologist | 1900 Midland Trl, Suite 1 and 2, Shelbyville, KY 40065-8141 | 2013-01-04 |
| 1760730139 | Dana Marie Moore | Nurse Practitioner | 1349 N Mount Auburn Rd, Cape Girardeau, MO 63701-1727 | 2012-08-16 |
| Street Address |
69 SAND PIT RD SUITE 300 |
| City | DANBURY |
| State | CT |
| Zip Code | 06810-4004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649275611 | Neil Culligan | Psychiatry & Neurology | 69 Sand Pit Rd, Ste 300, Danbury, CT 06810-4004 | 2005-06-16 |
| 1407218001 | Brianna Farrand | Dietitian, Registered | 69 Sand Pit Rd, Suite 300, Danbury, CT 06810-4004 | 2016-03-23 |
| 1366820565 | Anna Gekker Gertsberg | Clinical Neuropsychologist | 69 Sand Pit Rd, Suite 300, Danbury, CT 06810-4004 | 2015-05-08 |
| 1942693601 | Diana Naddeo | Psychologist | 69 Sand Pit Rd, Danbury, CT 06810-4004 | 2015-03-05 |
| 1578990818 | Yuan S Tran | Optometrist | 69 Sand Pit Rd, Suite 101, Danbury, CT 06810-4004 | 2013-10-01 |
| 1487928305 | Ellen Richards | Physical Therapist | 69 Sand Pit Rd, Suite 300, Danbury, CT 06810-4004 | 2012-02-24 |
| 1710259098 | Jennifer A Prewitt | Clinical Neuropsychologist | 69 Sand Pit Rd, Suite 300, Danbury, CT 06810-4004 | 2012-02-02 |
| 1033494844 | Hayley A Brooks-wallin | Occupational Therapist | 69 Sand Pit Rd, Danbury, CT 06810-4004 | 2011-10-13 |
| 1477836740 | Margaret Cavino | Physician Assistant | 69 Sand Pit Rd, Suite 300, Danbury, CT 06810-4088 | 2011-09-23 |
| 1821376732 | Jonathan Woodhouse | Clinical Neuropsychologist | 69 Sand Pit Rd, Suite 300, Danbury, CT 06810-4004 | 2011-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| 1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
| 1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
| Find all providers in zip 06810 | ||||
| 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 |
|---|---|---|---|---|
| 1366820565 | Anna Gekker Gertsberg | Clinical Neuropsychologist | 69 Sand Pit Rd, Suite 300, Danbury, CT 06810-4004 | 2015-05-08 |
| 1710259098 | Jennifer A Prewitt | Clinical Neuropsychologist | 69 Sand Pit Rd, Suite 300, Danbury, CT 06810-4004 | 2012-02-02 |
| 1821376732 | Jonathan Woodhouse | Clinical Neuropsychologist | 69 Sand Pit Rd, Suite 300, Danbury, CT 06810-4004 | 2011-07-26 |
| 1194994715 | Erin Lasher Jacobstein | Clinical Neuropsychologist | 69 Sand Pit Rd, Suite 300, Danbury, CT 06810-4004 | 2008-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548761224 | Shumita Roy | Clinical Neuropsychologist | 18 N Main St Fl 2, West Hartford, CT 06107-1970 | 2018-02-27 |
| 1992216790 | Brisman Associates In Neuropsychology, Pllc | Clinical Neuropsychologist | 433 S Main St Ste 225, West Hartford, CT 06110-2812 | 2017-10-19 |
| 1083157556 | Eva Troyb | Clinical Neuropsychologist | 26 Hawks Lndg, Amston, CT 06231-1659 | 2016-11-30 |
| 1669824702 | Martin D Oliveira Psy D LLC | Clinical Neuropsychologist | 10 N Main St Ste 1, West Hartford, CT 06107-1968 | 2016-07-12 |
| 1497151245 | Connecticut Neuropsychological Associates, LLC | Clinical Neuropsychologist | 40 Connecticut Ave, Norwich, CT 06360-1502 | 2014-11-06 |
| 1750795647 | James W. Pier, Ph.d., LLC | Clinical Neuropsychologist | 700 West Johnson Ave., Suite #310, Cheshire, CT 06410 | 2014-06-18 |
| 1922424175 | Psych Solutions LLC | Clinical Neuropsychologist | 2795 Albany Ave, West Hartford, CT 06117-1804 | 2014-03-12 |
| 1194157313 | Ginger Mills | Clinical Neuropsychologist | 623 Newfield Ave, Stamford, CT 06905-3302 | 2013-07-30 |
| 1144561051 | Western Connecticut Behavioral Health | Clinical Neuropsychologist | 828 Federal Rd, 2nd Floor, Brookfield, CT 06804-1830 | 2013-03-04 |
| 1043569288 | David Porrino | Clinical Neuropsychologist | 85 Old Kings Hwy N Fl 2, Darien, CT 06820-4732 | 2012-09-04 |
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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.