Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710358445 Individual Practitioner Male Practitioner

Kenneth Steven Moore , MHP

Psychologist • Bennington, VT

Professional Overview & Biography Verified Profile Summary

Kenneth Moore, MHP is a registered healthcare professional specializing in Psychologist in Bennington, VT. Practice services are available at 100 LEDGEHILL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Ledgehill Rd

Bennington, VT 052012273

Telephone 8024425491
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Bennington, VT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 29.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Bennington, VT (276 Statewide)

Telehealth Adoption Rate
0.0% 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

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

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.

Psychologist - Family

NUCC Taxonomy Code: 103TF0000X

State License VT 0970113490

A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs
0970113490 (VT)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Steven Lecce , LCMHC

Counselor - Mental Health

NPI 1003512724

Licensed Clinical Mental Health Counselor

Cynthia Gogan , LCMHC

Counselor - Mental Health

NPI 1013050293

Licensed Clinical Mental Health Counselor

Darwin Davis , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1013427988

Licensed Alcohol and Drug Counselor

Kimberly Warren

Community Health Worker

NPI 1013785054
Laura Budde , LICSW

Social Worker

NPI 1023039922

Licensed Independent Clinical Social Worker

Erin Shulman

Student in an Organized Health Care Education/Training Program

NPI 1033071865

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 22, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 22, 2015

Registered at 100 LEDGEHILL RD, BENNINGTON, VT 052012273 (Tel: 8024425491)

📍
Updated Business Mailing Address December 22, 2015

Registered at 100 LEDGEHILL RD, BENNINGTON, VT 052012273 (Tel: 8024425491)

👤
Provider Name / Credentials Updated December 22, 2015

Recorded as KENNETH MOORE, MHP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2015

Psychologist

🟢
Initial NPI Registration & Enumeration October 07, 2015

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: 1710358445
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2015
Last Update: December 22, 2015
Sole Proprietor: No

Mailing Address

100 Ledgehill Rd

Bennington, VT 052012273

Phone: 8024425491

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.