DR. NICHOLAS M MOORE (PSYD) – Clinical Psychologist, NPI 1336795509
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. NICHOLAS M MOORE (PSYD)
1848, Southeast 1st Avenue, Fort Lauderdale, Broward County, Florida, 33316, United States
FORT LAUDERDALE, FL 333162875
Phone: (954) 855-9500
Type: Mailing
923 Haddonfield Rd Ste 300
Cherry Hill, NJ 080022752
Phone: (267) 825-5478
Type: Location
941 W Morse Blvd Ste 100
Winter Park, FL 327893781
Phone: (856) 658-7653
Type: Location
10000 MIDLANTIC DR STE 101E
MOUNT LAUREL, NJ 080541504
Phone: (732) 982-2888
Type: Mailing
7 BROOKVIEW DR
ATCO, NJ 080042931
Phone: (856) 658-7653
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-08-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190913002205 | I | Clinical Psychologist | FL | TBD |
| I20200818003415 | I | Clinical Psychologist | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33316)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| - | NY | |
| Clinical Psychologist | FL | |
| - | FL | |
| Clinical Psychologist | FL | |
| Clinical Psychologist | FL | |
| - | CA | |
| - | FL | |
| - | FL |
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