Kevin Dale Moore, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101255019 Issued in VA

Practice address

450 Garrisonville Rd
109
Stafford, VA 22554

Phone

(703) 522-2727

Fax

(540) 288-3327

NPI assigned

Jan 9, 2006

Last updated

Jan 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, NC, DC, PA, NV, FL6 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 6

Specialty

Psychiatry

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arman C Moshyedi MD PLLCGroup PAC ID 7911331665, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kevin.moore.1@18773.direct.athenahealth.com
• Direct secure messaging: kevin.moore.1@33079.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arman C. Moshyedi, MD, PLLC

  • Psychiatry Physician
  • McLean, VA
  • NPI 1366005183

  DC

  Medicare reassignment Care Compare group NPD
• Behavioral Solutions Medical, PC

  • Psychiatry Physician
  • Bryn Mawr, PA
  • NPI 1790257335
  Medicare reassignment NPD
• CMC of PA PC

  dba Complete Mind Care of PA, PC

  • Psychiatry Physician
  • Horsham, PA
  • NPI 1083341341
  Medicare reassignment NPD
• Complete Mind Care Brain Wellness PLLC

  • Psychiatry Physician
  • Coconut Creek, FL
  • NPI 1447056387
  Medicare reassignment NPD
• Success TMS of Nevada PLLC

  • Psychiatry Physician
  • Henderson, NV
  • NPI 1104597202
  NPD
• Advanced Spine and Pain PLLC

  • Orthopaedic Surgery of the Spine Physician
  • Stafford, VA
  • NPI 1255695490
  NPD (past)
• Greenbrook TMS Midlothian LLC

  • Psychiatry Physician
  • Midlothian, VA
  • NPI 1932659976
  NPD (past)
• Greenbrook TMS Roanoke

  • Psychiatry Physician
  • Roanoke, VA
  • NPI 1427561059
  NPD (past)
• TMS Neurohealth Centers Richmond LLC

  • Clinic/Center
  • Glen Allen, VA
  • NPI 1447659891
  NPD (past)
• CMC of PA PC

  dba Complete Mind Care of PA, PC

  • Psychiatry Physician
  • Villanova, PA
  • NPI 1477321230
  NPD (past)
• Complete Mind Care of PA, LLC

  • Adult Mental Health Clinic/Center
  • Abington, PA
  • NPI 1972218667

  Psychiatry

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1023096054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MONUMENT DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548508",
            "telephone_number": "571-409-0161",
            "fax_number": "540-288-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 GARRISONVILLE RD",
            "address_2": "109",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "22554",
            "telephone_number": "703-522-2727",
            "fax_number": "540-288-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KEVIN",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "KY",
            "license": "28200",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2014-01019",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "28200",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101255019",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "KY",
            "license": "28200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Bailey Molina, LPC
• Maximilian Moloko
• Jonathan Phillip Money, ATC, LAT
• Monica Dickenson (CSS-Cosmetology Specialty Services)
• Nicholas Edward Montminy
• Trezure Moore
• Victoria E Moore, BEHAVIOR TECHNICIAN
• Alberto Morales, FNP
• Madison Mordica
• Emely Sarai Moreno

• Psychiatry Physician in Stafford, VA
• Providers in Stafford, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.