| Michael Moats, Psyd, Inc. | |
|
224 E Willamette Ave Colorado Springs CO 80903-1114 | |
| (719) 459-1355 | |
| (719) 448-9467 |
| Full Name | Michael Moats, Psyd, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 224 E Willamette Ave, Colorado Springs, Colorado |
| Authorized Official Name and Position | Michael Moats (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7194591355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Moats, Psyd, Inc. 224 E Willamette Ave Colorado Springs CO 80903-1114 Ph: (719) 459-1355 | Michael Moats, Psyd, Inc. 224 E Willamette Ave Colorado Springs CO 80903-1114 Ph: (719) 459-1355 |
| NPI Number | 1144599432 |
|---|---|
| Provider Enumeration Date | 12/15/2011 |
| Last Update Date | 10/08/2012 |
| Medicare PECOS PAC ID | 3476876160 |
|---|---|
| Medicare Enrollment ID | O20150105001528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144599432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3661 (Colorado) | Primary |
| Provider Name | Michael Moats |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538454921 PECOS PAC ID: 4082888193 Enrollment ID: I20111129000143 |
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