OrganizationActive
Moore Autism Center, P.C.
NPI 1518319276 · Clinical Child & Adolescent Psychologist · Moore, OK
Provider details
- NPI number
- 1518319276
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Dustin Ward, Owner/Director(405) 735-6333
- License
- 1011 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(71/100 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
1044 Sw 4th St
Moore, OK 73160-2405
Phone: (405) 735-6333
Street-level locationGet directions
Mailing address
1044 Sw 4th St
Moore, OK 73160-2405
Registry dates
- Enumerated
- 2016-07-06
- Last updated
- 2016-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.