Dave Sanford Kerby, PHD

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

Practice address

1044 SW 4TH St
Moore, OK 73160-2405

Phone

(405) 735-6333

Fax

(405) 735-6629

NPI assigned

Jan 16, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Moore Counseling Center, P.C.Group PAC ID 9436151511, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Moore Counseling Center, P.C.

  • Counseling Psychologist
  • Moore, OK
  • NPI 1427140219

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1114463072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 SW 4TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602405",
            "telephone_number": "405-735-6333",
            "fax_number": "405-735-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 SW 4TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602405",
            "telephone_number": "405-735-6333",
            "fax_number": "405-735-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERBY",
        "first_name": "DAVE",
        "middle_name": "SANFORD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "1277",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mistye Kelly
• Ida S Kemunto Magati
• Ella Sue Kendrick
• Kenmore Eyecare Center
• Todd Alan Kenmore, O.D.
• Landon Wade Kersey, ATC, LAT
• Ketamine Ok LLC
• Cerissa Kalani Key, D.O.
• Joe Khong, LPC-C
• Derek Kielkopf

• Health Service Psychologist in Moore, OK
• Providers in Moore, OK by specialty
• Health Service Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.