Robert Moesta Evaluation and Treatment Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301009756 Issued in MI

Legal business name

ROBERT MOESTA EVALUATION AND TREATMENT SERVICES

Practice address

203 W Michigan Ave Ste 202
Saline, MI 48176-1355

Phone

(734) 470-6908

Fax

(734) 470-6443

NPI assigned

May 16, 2018

Last updated

May 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert K Moesta, LLP

Title

Owner

Phone

(734) 945-7490

Specialties & licenses 1

Addresses

Other names 1

• Robert Moesta Evaluation and Treatment Services Former legal business name

Locations

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1023508918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W MICHIGAN AVE STE 202",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761355",
            "telephone_number": "734-470-6908",
            "fax_number": "734-470-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W MICHIGAN AVE STE 202",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761355",
            "telephone_number": "734-470-6908",
            "fax_number": "734-470-6443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9477 N Territorial Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dexter",
            "state": "MI",
            "postal_code": "481308583",
            "country_code": "US",
            "telephone_number": "734-470-6423",
            "fax_number": "734-470-6443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROBERT MOESTA EVALUATION AND TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "MOESTA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-945-7490",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301009756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert Moesta Evaluation and Treatment Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Cody Rohn

• Clinical Psychologist in Saline, MI
• Providers in Saline, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.