Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Susanna Mckean Moore, PHD

Clinical Psychologist in Oakland, CA · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1932245776

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Susanna Mckean Moore

Credential PHD

Sex Female

Practice address 1501 Fruitvale Ave, Oakland, CA, 94601

Phone (510) 535-6200

Fax (510) 535-4167

Enumeration date Jan 29, 2007

Last updated in NPPES Oct 29, 2014

Taxonomy & licenses

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License PSY20756 (CA) Primary

PHD · Doctor of Philosophy: A doctoral degree; in healthcare often held by clinical psychologists and researchers. About the PHD credential

Other identifiers

Identifier	Type	State	Issuer
05-1063	Other	CA	MEDICARE PART A
ZZZ29799Z	Other	CA	MEDICARE PART B

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Susanna Moore?

Susanna Moore is registered in NPPES with the primary taxonomy of Clinical Psychologist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-10-29.