Active NPI
Jeff a. Moody, PLLC
- Marriage & Family Therapist
- Oklahoma City, OK
National Provider Identifier
1073749768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 902
- Legal business name
- JEFF A. MOODY, PLLC
- Practice address
- 3501 NW 63Rd St
Suite 404
Oklahoma City, OK 73116-2237 - Phone
- (405) 620-3508
- NPI assigned
- Jun 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey Allen Moody, M.S.
- Title
- Owner/Ceo
- Phone
- (405) 620-3508
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 902 | OK | Primary |
Addresses
Primary practice location
3501 NW 63Rd St
Suite 404
Oklahoma City, OK 73116-2237
Mailing address
3501 NW 63Rd St
Suite 404
Oklahoma City, OK 73116-2237
Phone (405) 620-3508
National Provider Directory
National Provider DirectoryLocations
3501 NW 63rd St
Ste 404
Oklahoma City, OK 73116
Phone (405) 620-3508
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244419200000",
"number": "1073749768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 NW 63RD ST",
"address_2": "SUITE 404",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731162237",
"telephone_number": "405-620-3508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 NW 63RD ST",
"address_2": "SUITE 404",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731162237",
"telephone_number": "405-620-3508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFF A. MOODY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-08",
"last_updated": "2009-06-08",
"status": "A",
"authorized_official_last_name": "MOODY",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "405-620-3508",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.S."
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "OK",
"license": "902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.