IndividualActive
Mikayla Moore
NPI 1104691781 · Clinical Psychologist · Grand Rapids, MI
Mikayla Moore is a Clinical Psychologist provider in Grand Rapids, MI (NPI 1104691781).
Provider details
- NPI number
- 1104691781
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 6362009854 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
330 E Beltline Ave Ne Ste 320
Grand Rapids, MI 49506-1267
Phone: (616) 745-8640
Street-level locationGet directions
Mailing address
6845 Terra Cotta Dr Se
Caledonia, MI 49316-8005
Registry dates
- Enumerated
- 2023-11-23
- Last updated
- 2023-11-23
- Certified
- 2023-11-23
Frequently asked questions
- What is Mikayla Moore's NPI number?
- Mikayla Moore's National Provider Identifier (NPI) is 1104691781, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mikayla Moore's specialty?
- Mikayla Moore is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Mikayla Moore located?
- Mikayla Moore's practice location on file with NPPES is 330 E Beltline Ave Ne Ste 320, Grand Rapids, MI 49506-1267.
- What is Mikayla Moore's phone number?
- The practice phone number listed in the NPPES registry for Mikayla Moore is (616) 745-8640.
- Is Mikayla Moore's NPI active?
- Yes — Mikayla Moore's NPI (1104691781) is active in the NPPES registry as of the last update on 2023-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.