Active NPI
Jeff Allen Moody, PSY.D.
- Psychologist
- Newberg, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3007
- Practice address
- 307 E 2ND St Ste 250
Newberg, OR 97132-3077 - Phone
- (405) 620-3508
- NPI assigned
- Nov 29, 2006
- Last updated
- Feb 10, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3007 | OR | Primary |
Addresses
Primary practice location
307 E 2ND St Ste 250
Newberg, OR 97132-3077
Mailing address
307 E 2ND St Ste 250
Newberg, OR 97132-3077
Phone (405) 620-3508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190827001062 | OR | Practitioner - Clinical Psychologist | 0345578555 |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
307 E 2ND St
Suite 250
Newberg, OR 97132-3077
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3007 | OR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Clinical Psychology, PLLC | Current | Accepting new patients | |
| Jeff Moody, LLC | Current | Accepting new patients | |
| Jeff a. Moody, PLLC | Marriage & Family Therapist | Past | Accepting new patients |
Locations
307 E 2nd St
Ste 250
Newberg, OR 97132
Phone (971) 832-8550
1101 Waters Edge Dr
Ste 108
Granbury, TX 76048
Phone (817) 559-1754
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Granbury, TX
- NPI 1093543654
-
dba Insight Psychological Testing & Assessment
- Clinical Psychologist
- Tualatin, OR
- NPI 1619595600
-
- Clinical Psychologist
- Newberg, OR
- NPI 1912566951
-
- Marriage & Family Therapist
- Oklahoma City, OK
- NPI 1073749768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1093882599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 E 2ND ST STE 250",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971323077",
"telephone_number": "405-620-3508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 E 2ND ST STE 250",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971323077",
"telephone_number": "405-620-3508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODY",
"first_name": "JEFF",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "3007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newberg, OR
Sources for this page
- 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.
- 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.