Jessica Moeller, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6977 Issued in OH

Practice address

161 N Forge St
Ste 190
Akron, OH 44304-1468

Phone

(330) 375-7285

Fax

(330) 375-6872

NPI assigned

Aug 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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

• Summa Physicians LLC

  dba Summa Health Medical Group

  • Obstetrics & Gynecology Physician
  • Akron, OH
  • NPI 1235167719
  Medicare reassignment Care Compare group NPD
• Summa Physicians LLC

  dba Summa Health Medical Group

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Akron, OH
  • NPI 1003371915
  NPD
• Summa Physicians LLC

  dba Summa Health Medical Group

  • Geriatric Medicine (Internal Medicine) Physician
  • Uniontown, OH
  • NPI 1457662769
  NPD

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1073861902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3542",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443093542",
            "telephone_number": "330-996-0347",
            "fax_number": "330-996-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 N FORGE ST",
            "address_2": "STE 190",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041468",
            "telephone_number": "330-375-7285",
            "fax_number": "330-375-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "6977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Mocny, RBT
• Gina Marie Modena, APRN
• Modern Hearing Solutions of Akron Inc.
• Modern Support Services
• Malay K. Mody, MD
• Kimberly J Moeller, C.N.S.
• Alexis Moffa, MD
• Jennifer Moffett
• Abdelaziz Salih Ali Mohamed, M.D.
• Khadra Mohamed, PA-C

• Psychologist in Akron, OH
• Providers in Akron, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.