Individual provider Active NPI

Carl Stephen Moisoff, PSYD

  • Clinical Psychologist
  • Merrillville, IN
National Provider Identifier
1083680987
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20040404A Issued in IN
Practice address
8500 Broadway St
Ste a
Merrillville, IN 46410
Phone
(800) 648-7608
Fax
(219) 736-9456
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20040404A IN Primary

Addresses

Primary practice location

8500 Broadway St
Ste a
Merrillville, IN 46410

Mailing address

9910 Arthur Court
Crown Point, IN 46307-2357
Phone (219) 662-0362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory Hyde PSYD LLC Clinical Past Accepting new patients
Mary Mirro, Psy. D., HSPP, LLC Clinical Past Accepting new patients
Dyer Medical Center, Inc. PastSince Jan 13, 2010 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083680987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 ARTHUR COURT",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072357",
            "telephone_number": "219-662-0362",
            "fax_number": "219-736-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 BROADWAY ST",
            "address_2": "STE A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "800-648-7608",
            "fax_number": "219-736-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOISOFF",
        "first_name": "CARL",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040404A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.