Shannon Moore, PHD
NPI 1639881253 · Clinical Psychologist · Vacaville, CA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Moore, PHD is a Clinical Psychologist provider in Vacaville, CA (NPI 1639881253).
Provider details
- NPI number
- 1639881253
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 33838 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2022-12-14
- Last updated
- 2022-12-14
- Certified
- 2022-12-14
Frequently asked questions
- What is Shannon Moore's NPI number?
- Shannon Moore's National Provider Identifier (NPI) is 1639881253, 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 1 Quality Dr, Vacaville, CA 95688-9494.
- What is Shannon Moore's phone number?
- The practice phone number listed in the NPPES registry for Shannon Moore is (707) 624-2830.
- Does Shannon Moore accept Medicare?
- Shannon Moore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Moore's NPI active?
- Yes — Shannon Moore's NPI (1639881253) is active in the NPPES registry as of the last update on 2022-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.