DR. DAVID ROBERT MOODY (NPI# 1447565429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447565429 |
| Entity Type | Individual |
| Full Name | DR. DAVID ROBERT MOODY |
| Credential | PH.D. |
| Practice Address |
700 24th St Fort Lee VA 23801-1716 |
| Practice Telephone | 8047349942 |
| Practice Fax Number | 8778741008 |
| Mailing Telephone | 8047349043 |
| Mailing Fax Number | 8047349188 |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2011-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
5241 | MN | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810001289 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164554226 | David Moody | Dentist | 11149 Woodley Ave, Granada Hills, CA 91344-3801 | 2007-03-12 |
| 1710901897 | David Tipton Moody | Psychiatry & Neurology | 800 Preston Ave., Charlottesville, VA 22903-4420 | 2006-07-26 |
| 1043275613 | David Branch Moody | Internal Medicine | Arthiritis Center 75 Francis St, Bwh Rheumatology Immunology and Allergy, Boston, MA 02115 | 2006-04-18 |
| 1104895549 | David Leon Moody Jr. | Chiropractor | 9511 Delegates Row, Indianapolis, IN 46240-3807 | 2006-03-17 |
| 1295194280 | David Moody | Registered Nurse | 3401 Ludington St, Escanaba, MI 49829-1300 | 2016-02-18 |
| 1225193709 | David Michael Moody | Dentist | 242 Heritage Park Dr, Suite 105, Murfreesboro, TN 37129-1551 | 2006-12-26 |
| 1346359197 | David Lawrence Moody | Family Medicine | 1071 E Franklin St, Carthage, MS 39051-3601 | 2006-08-29 |
| 1902808793 | David E Moody | Radiology | 700 W Ironwood Dr, Suite 110, Coeur D Alene, ID 83814-2656 | 2005-08-11 |
| Street Address |
700 24TH ST |
| City | FORT LEE |
| State | VA |
| Zip Code | 23801-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366448334 | Robert Stanley Brown Sr. | Psychiatry & Neurology | 700 24th St, Fort Lee, VA 23801-1716 | 2005-06-24 |
| 1306354196 | Raquel Bopp | Dietitian, Registered | 700 24th St, Fort Lee, VA 23801-1716 | 2018-01-16 |
| 1316495419 | Monica Jones | Psychologist | 700 24th St, Bldg 8130, Fort Lee, VA 23801-1716 | 2016-09-17 |
| 1316324445 | Cody J Cole | Pharmacist | 700 24th St, Fort Lee, VA 23801-1716 | 2015-04-27 |
| 1598195174 | Michael Hurst | Physical Therapist | 700 24th St, Fort Lee, VA 23801-1716 | 2013-11-19 |
| 1114355542 | Zachary Marcus Leftwich | Pharmacist | 700 24th St, Fort Lee, VA 23801-1716 | 2013-10-22 |
| 1235578857 | Elizabeth Ramona Brown | Nurse Practitioner | 700 24th St, Fort Lee, VA 23801-1716 | 2013-06-17 |
| 1881938793 | Melanee Davis | Pharmacist | 700 24th St, Fort Lee, VA 23801-1716 | 2012-11-15 |
| 1871840793 | Jasmin Isabel Filpo | Optometrist | 700 24th St, Fort Lee, VA 23801-1716 | 2012-08-09 |
| 1912264359 | Pamela Annette Mcphearson | Nurse Practitioner | 700 24th St, Fort Lee, VA 23801-1716 | 2012-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790262384 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | Ft. Lee 300 A Ave., Fort Lee, VA 23801 | 2018-07-26 |
| 1770812190 | Arkeye | Optometrist | 300 A Avenue, Bldg 1605, Fort Lee, VA 23801 | 2009-12-14 |
| 1992911044 | Claudis Andre' Williams Jr. | Physician Assistant | 700 24th St., Kenner Army Health Clinic, Ft. Lee, VA 23801 | 2007-05-15 |
| 1982703013 | Kenner Army Health Clinic | Military/U.S. Coast Guard Pharmacy | Bldg 3219, Ft Lee, VA 23801 | 2006-09-22 |
| 1922107044 | Kenner Army Health Clinic | Military/U.S. Coast Guard Pharmacy | Bldg P8130, Ft Lee, VA 23801 | 2006-09-22 |
| 1538135157 | Laurie Sue Giertz | Physician Assistant | 700 24th St Apt Hill, Fort Lee, VA 23801 | 2006-02-24 |
| 1689653396 | Robert Keith Lather | Emergency Medicine | Kenner Army Health Clinic, Primary Care Division, Ft Lee, VA 23801 | 2006-01-11 |
| 1265418370 | Edward Cathright Jr. | Dentist | 504 Trenton Drive, Fort Lee, VA 23801 | 2005-12-20 |
| 1801854807 | Mack Conley O'quinn Jr. | Social Worker | 700 24th Street, Kenner Army Health Clinic, Fort Lee, VA 23801 | 2006-05-02 |
| 1083690028 | Kimberly Ellen Newton | Registered Nurse | 700 24th Street, Usameddac Kahc Attn: Credentials Office, Fort Lee, VA 23801 | 2005-12-21 |
| Find all providers in zip 23801 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917633 | Michelle Marie Wankmuller | Psychologist | 1605 John St Ste 205b, Fort Lee, NJ 07024-2581 | 2019-02-01 |
| 1083040232 | Bergen Psychological Services, LLC | Psychologist | 1605 John St Ste 208, Fort Lee, NJ 07024-2550 | 2013-09-19 |
| 1619136173 | Paul Jacobs | Psychologist | 1 Horizon Rd, Apt. 1423, Fort Lee, NJ 07024-6502 | 2008-06-09 |
| 1770703324 | Diane Marie Harris | Psychologist | 701 27th St Bldg 8135, Ft. Lee Asap, Fort Lee, VA 23801-2707 | 2007-04-26 |
| 1104042431 | Andiea Hedayat-harris | Psychologist | 2215 N Central Rd, Apt. 4g, Fort Lee, NJ 07024-7551 | 2007-04-17 |
| 1982737771 | N John Lombardi | Psychologist | 1319 Anderson Avenue, Fort Lee, NJ 07740-1770 | 2007-03-13 |
| 1164559001 | Center for Psychological & Forensic Services Inc | Psychologist | 2337 Lemoine Avenue Suite 201, Fort Lee, NJ 07024 | 2007-02-27 |
| 1215032040 | Samuel Eli Menahem | Psychologist | 2083 Center Ave, Suite G, Fort Lee, NJ 07024 | 2006-09-14 |
| 1295204550 | Karin Gepp | Psychologist | 440 West St Ste 312, Fort Lee, NJ 07024-5028 | 2018-11-16 |
| 1245468651 | Daphne Simmons Bethune | Psychologist | 700 24th St, Fort Lee, VA 23801-1716 | 2009-06-24 |
| Find all providers in FORT LEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.