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Justin Anthony Moore

NPI 1487005393ActiveIndividual· Psychologist· Northfield, IL

Psychologist with Unify Counseling Inc, practicing in Northfield, Illinois. Medicare paid $82,537 for services to 31 patients in 2024.

Overview

NPI1487005393
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJun 22, 2016
Last updated in NPPESDec 1, 2023
Certified by providerDec 1, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000X3606-57WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Psychologist (IL)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients31
Services billed781 across 4 procedure codes
Paid by Medicare$82,537

Medicare sources and data years

Education and affiliations

Graduation year2017
Medicare specialtyClinical Psychologist
TelehealthOffers telehealth

Medical group

Source: CMS Care Compare

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