Organization Active NPI

Jeff a. Moody, PLLC

  • Marriage & Family Therapist
  • Oklahoma City, OK
National Provider Identifier
1073749768
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
902 Issued in OK
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

Updated by the provider on Jun 8, 2009

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.