Michelle Moore, PHD, LLC
NPI 1659606705ActiveOrganization· Psychologist, Clinical· Lutz, FL
Psychologist, Clinical in Lutz, Florida, registered in NPPES in October 2009. The authorized official on file is Michelle Renee Widows, PHD, Clinical Psychologist.
Overview
| NPI | 1659606705 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 7, 2009 |
| Last updated in NPPES | Jun 14, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PY6699 | FL |
| Psychologist | 103T00000X | 3155 | CO |
| Psychologist, Clinical | 103TC0700X | 3155 | CO |
| Psychologist, Health | 103TH0004X | 3155 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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