IndividualActive
Everrett Moore, PHD
NPI 1740072305 · Psychologist · Southlake, TX
Everrett Moore, PHD is a Psychologist provider in Southlake, TX (NPI 1740072305).
Provider details
- NPI number
- 1740072305
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 40164 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1130 N Kimball Ave Ste 120
Southlake, TX 76092-4745
Phone: (940) 278-8664
Street-level locationGet directions
Mailing address
1130 N Kimball Ave Ste 120
Southlake, TX 76092-4745
Registry dates
- Enumerated
- 2025-05-20
- Last updated
- 2025-05-20
- Certified
- 2025-05-20
Frequently asked questions
- What is Everrett Moore's NPI number?
- Everrett Moore's National Provider Identifier (NPI) is 1740072305, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Everrett Moore's specialty?
- Everrett Moore is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Everrett Moore located?
- Everrett Moore's practice location on file with NPPES is 1130 N Kimball Ave Ste 120, Southlake, TX 76092-4745.
- What is Everrett Moore's phone number?
- The practice phone number listed in the NPPES registry for Everrett Moore is (940) 278-8664.
- Is Everrett Moore's NPI active?
- Yes — Everrett Moore's NPI (1740072305) is active in the NPPES registry as of the last update on 2025-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.