IndividualActive
Shannon Moore
NPI 1386095453 · Clinical Psychologist · San Diego, CA
Shannon Moore is a Clinical Psychologist provider in San Diego, CA (NPI 1386095453).
Provider details
- NPI number
- 1386095453
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PSY20947 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
480 Alta Rd
San Diego, CA 92179-0001
Phone: (619) 661-6500
Street-level locationGet directions
Mailing address
Po Box 12641
La Jolla, CA 92039-2641
Registry dates
- Enumerated
- 2016-06-29
- Last updated
- 2016-06-29
Frequently asked questions
- What is Shannon Moore's NPI number?
- Shannon Moore's National Provider Identifier (NPI) is 1386095453, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Moore's specialty?
- Shannon Moore is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Shannon Moore located?
- Shannon Moore's practice location on file with NPPES is 480 Alta Rd, San Diego, CA 92179-0001.
- What is Shannon Moore's phone number?
- The practice phone number listed in the NPPES registry for Shannon Moore is (619) 661-6500.
- Is Shannon Moore's NPI active?
- Yes — Shannon Moore's NPI (1386095453) is active in the NPPES registry as of the last update on 2016-06-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.