Dr Jacob Alexander Moore, PHD is a
Psychologist - Counseling based in Rockville, Maryland. Dr Jacob Alexander Moore is licensed to practice in Maryland (license number 07251) and his current practice location is
9707 Key West Ave Ste 100, Rockville, Maryland. He can be reached at his office (for appointments etc.) via phone at
(240) 750-6467.
NPI number for Dr Jacob Alexander Moore is 1821762220 and his current mailing address is 5822 Barnwood Pl, Columbia, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821762220.
Healthcare Provider's Profile
Full Name | Dr Jacob Alexander Moore |
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Gender | Male |
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Speciality | Psychologist - Counseling |
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Location | 9707 Key West Ave Ste 100, Rockville, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821762220
- Provider Enumeration Date: 08/09/2021
- Last Update Date: 03/07/2025
Medical Identifiers
Medical identifiers for Dr Jacob Alexander Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821762220 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | A0611 (Maryland) | Secondary |
103TC1900X | Psychologist - Counseling | 07251 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jacob Alexander Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jacob Alexander Moore, PHD 5822 Barnwood Pl, Columbia, MD 21044-2842 Ph: (301) 272-5080 | Dr Jacob Alexander Moore, PHD 9707 Key West Ave Ste 100, Rockville, MD 20850-3992 Ph: (240) 750-6467 |
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