DR. JAMES JOSEPH MORIARTY PHD NPI 1679692115

NPI Information

NPI: 1679692115
Provider Name: DR. JAMES JOSEPH MORIARTY, PHD
Classification: Psychologist - 103TA0700X
Entity Type: Individual

Specialization: Adult Development & Aging

PECOS Registration: Yes

Address:
55 W MAPLE RD
SUITE 210
BIRMINGHAM, MI
ZIP 48009
Phone: (313) 562-0550
Get Directions

DR. James Joseph Moriarty, PHD is an adult development and aging psychologist in Birmingham, MI. The provider is a psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care. DR. James Joseph Moriarty, PHD NPI is 1679692115. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

55 W MAPLE RD
SUITE 210
BIRMINGHAM, MI
ZIP 48009-303
Phone: (313) 562-0550

The NPI 1679692115 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TA0700X	Psychologist	Adult Development & Aging	63001000995	MICHIGAN	Yes
2	103TC0700X	Psychologist	Clinical	63001000995	MICHIGAN	X
3	103TC2200X	Psychologist	Clinical Child & Adolescent	63001000995	MICHIGAN	X
4	103TF0000X	Psychologist	Family	63001000995	MICHIGAN	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0H24545	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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