PETER MORAN (PH.D.) – Clinical Psychologist, NPI 1700809399

PETER MORAN (PH.D.) is a healthcare provider. based in Worcester, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 3358 (MA). The NPI Number for PETER MORAN (PH.D.) is 1700809399

Main info

Male
Sole Proprietor
44 Years Of Experience
Name
PETER MORAN (PH.D.)
NPI
1700809399
Phone
(774) 253-1573
Address
397 GROVE ST
Enumeration Date
25 July 2006
Last Update Date
29 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087913677
Graduation Year
1982 (44 years ago)
PAC ID
9133028376
Group Practice PAC ID
9537472642
Professional Enrollment ID
I20080103000414
Address ID
MA016051223WO397XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

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Provider Addresses for PETER MORAN (PH.D.)

  • 397, Grove Street, Chadwick Square, Worcester, Worcester County, Massachusetts, 01609, United States

    WORCESTER, MA 016051223

    Phone: (774) 253-1573

    Mailing address matches the actual address.

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: 2008-01-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080103000414IClinical PsychologistMATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes16816$0
View full utilization report →

Insurance plans in this area (ZIP 01605)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537472642View full group profile
NameSpecialtyState
-MD
Mental Health CounselorMA
Clinical Social WorkerMA
Clinical PsychologistRI
-MA
Marriage And Family TherapistMA

Reviews

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Frequently asked questions

What federal number belongs to PETER MORAN (PH.D.)?
The federal identifier for PETER MORAN (PH.D.) is NPI 1700809399.
Is PETER MORAN (PH.D.)'s NPI currently valid?
The extract we use shows PETER MORAN (PH.D.) as active.
What field does PETER MORAN (PH.D.) work in?
You can think of PETER MORAN (PH.D.) as practicing within Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is PETER MORAN (PH.D.)'s primary listing?
We display Worcester, Massachusetts because that is what the record indicates for PETER MORAN (PH.D.).
How can I contact PETER MORAN (PH.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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