Healthcare Provider Details

I. General information

NPI: 1700798865
Provider Name (Legal Business Name): THE MOORE GROUP PSYCHOLOGY & CONSULTING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3387 SUSSEX DR
ROCHESTER HILLS MI
48306-1472
US

IV. Provider business mailing address

3387 SUSSEX DR
ROCHESTER HILLS MI
48306-1472
US

V. Phone/Fax

Practice location:
  • Phone: 248-270-7802
  • Fax:
Mailing address:
  • Phone: 248-270-7802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: ROBERT JOSEPH MOORE
Title or Position: MANAGING MEMBER
Credential: MS, LLP
Phone: 248-270-7802