P Praxis·MD
● Active Type 1 · Individual

Kathleen M Moore, PSY.D

Psychologist·Sandpoint, ID· NPI 1720559248 · Enumerated 2018 · 7 years on NPI
Moore is 1 of 3 psychologist providers in Sandpoint and 1 of 196 in Idaho.
NPI age
7 years
Enumerated 2018-12-10
Primary specialty
Psychologist
Plus 1 subspecialty
Licensed in
ID, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-12-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 196 active psychologist providers in Idaho.

NPI age
7 years
↓ 7 yr below median (14 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-12Enumerated in NPPES
2018 2026

Where they practice

Practice location
918 Cattail Ct
Sandpoint, ID 838645094
📞 2089201750
Mailing address
918 Cattail Ct
Sandpoint, ID 838645094
📞 2089201750

Specialties

  • Psychologist Primary
    A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles,...
    ID license #PSY-203097CA license #PSY-14596 taxonomy 103T00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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