Integrative Clinical Psychology, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

INTEGRATIVE CLINICAL PSYCHOLOGY, PLLC

Practice address

1101 Waters Edge Dr Ste 108
Granbury, TX 76048-1474

Phone

(817) 559-1754

NPI assigned

Jul 24, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jeff A Moody, PSYDNPI 1093882599

Title

Owner

Phone

(817) 559-1754

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeff Allen Moody, PSY.D.

  • Psychologist
  • Newberg, OR
  • NPI 1093882599
  NPD Authorized official

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1093543654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 MESA LOOP",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760486554",
            "telephone_number": "405-620-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WATERS EDGE DR STE 108",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760481474",
            "telephone_number": "817-559-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE CLINICAL PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-559-1754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tristin Hundley
• Michael C Ibe, M.D.
• Impact Performance Physical Therapy PLLC
• Craig Alan Inman, R.PH
• Integracare of Granbury, LLC
• Internal & Pulmonary Granbury
• Cherith Victoria Irizarry, FNP
• Madison Irvine
• Sabrina Ivey
• Oluwakemi Bassey Iwanefun, WHNP

• Clinical Psychologist in Granbury, TX
• Providers in Granbury, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.