Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720570773 Individual Practitioner Female Practitioner

Dr. Amanda L Moen , PhD

Psychologist • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Dr. Amanda Moen, PhD is a registered healthcare professional specializing in Psychologist in Fort Worth, TX. Practice services are available at 1300 W LANCASTER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1300 W Lancaster Ave

Fort Worth, TX 761023499

Telephone 6823039200
Fax 6823039239
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.7 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
75 Specialists

Practicing in Fort Worth, TX (2266 Statewide)

Telehealth Adoption Rate
4.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-12-20
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License TX 38514

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, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Jesse Anderson , BCBA

Behavior Analyst

NPI 1093044190

Board Certified Behavior Analyst

Maria Otero , BCBA

Behavior Analyst

NPI 1225628746

Board Certified Behavior Analyst

Dr. Haley Brown , PhD

Psychologist - Clinical

NPI 1437985603

Doctor of Philosophy (Ph.D.)

Lisa Kenaston

Assistant Behavior Analyst

NPI 1538893102
Dr. Brooke Kimbrell , MD

Pediatrics - Neurodevelopmental Disabilities

NPI 1568969566

Doctor of Medicine (M.D.)

NPI 1639991631

Board Certified Behavior Analyst

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location December 20, 2022

Registered at 1300 W LANCASTER AVE, FORT WORTH, TX 761023499 (Tel: 6823039200)

📍
Updated Business Mailing Address December 20, 2022

Registered at 1300 W LANCASTER AVE, FORT WORTH, TX 761023499 (Tel: 6823039200)

👤
Provider Name / Credentials Updated December 20, 2022

Recorded as AMANDA MOEN, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2022

Psychologist (License #38514 in TX)

📍
Updated Practice Location August 03, 2021

Registered at 707 N. BROADWAY, BALTIMORE, MD 212051832 (Tel: 4439239200)

📍
Updated Business Mailing Address August 03, 2021

Registered at 1741 ASHLAND AVE., BALTIMORE, MD 21205

NPI Profile Active June 05, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2018

Registered at 707 N BROADWAY, BALTIMORE, MD 212051832 (Tel: 4439234500)

📍
Updated Business Mailing Address June 05, 2018

Registered at 2931 E BIDDLE ST, BALTIMORE, MD 212133939

👤
Provider Name / Credentials Updated June 05, 2018

Recorded as AMANDA MOEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 05, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720570773
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2018
Last Update: December 20, 2022
Sole Proprietor: No

Mailing Address

1300 W Lancaster Ave

Fort Worth, TX 761023499

Phone: 6823039200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.