Jacob Alexander Moore, PH.D.
NPI 1821762220ActiveIndividual· Psychologist, Counseling· Rockville, MD
Psychologist, Counseling (PH.D.) with Quince Orchard Psychotherapy LLC, practicing in Rockville, Maryland. Enrolled in Medicare as practitioner - clinical psychologist and practitioner - clinical psychologist.
Overview
| NPI | 1821762220 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Aug 9, 2021 |
| Last updated in NPPES | Mar 7, 2025 |
| Certified by provider | Mar 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | 07251 | MD |
| Counselor, Mental Health | 101YM0800X | A0611 | MD |
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) | Enrolled Practitioner - Clinical Psychologist (DC); Practitioner - Clinical Psychologist (MD) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Quince Orchard Psychotherapy LLCRockville, MD · 30 clinicians
Other Psychologist, Counseling providers in Rockville
- 1013158310
- 1841843208
- 1831513415
- 1518832120