Mary Ann Moore, PSY.D.
NPI 1770197766 · Clinical Psychologist · Johnson City, NY
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Ann Moore, PSY.D. is a Clinical Psychologist provider in Johnson City, NY (NPI 1770197766).
Provider details
- NPI number
- 1770197766
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 011128-1 (NY)
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
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 119 Oconnell RdVestal, NY 13850-6001Phone: (607) 239-8063
Registry dates
- Enumerated
- 2020-09-07
- Last updated
- 2020-09-07
- Certified
- 2020-09-07
Frequently asked questions
- What is Mary Ann Moore's NPI number?
- Mary Ann Moore's National Provider Identifier (NPI) is 1770197766, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Ann Moore's specialty?
- Mary Ann Moore is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Mary Ann Moore located?
- Mary Ann Moore's practice location on file with NPPES is 679 Main St, Johnson City, NY 13790-1716.
- What is Mary Ann Moore's phone number?
- The practice phone number listed in the NPPES registry for Mary Ann Moore is (607) 237-0645.
- Does Mary Ann Moore accept Medicare?
- Mary Ann Moore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Ann Moore's NPI active?
- Yes — Mary Ann Moore's NPI (1770197766) is active in the NPPES registry as of the last update on 2020-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.