Individual provider Active NPI

Moya Tiko Foster, PH.D.

  • Psychologist
  • Durham, NC
National Provider Identifier
1174673792
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3349 Issued in NC
Practice address
4600 Emperor Blvd
Ste. 200
Durham, NC 27703-8577
Phone
(919) 651-8416
Fax
(919) 651-8672
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3349 NC Primary

Addresses

Primary practice location

4600 Emperor Blvd
Ste. 200
Durham, NC 27703-8577

Mailing address

4600 Emperor Blvd
Ste. 200
Durham, NC 27703-8577
Phone (919) 794-1455

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3349NCMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1174673792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 EMPEROR BLVD",
            "address_2": "STE. 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038577",
            "telephone_number": "919-794-1455",
            "fax_number": "919-361-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 EMPEROR BLVD",
            "address_2": "STE. 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038577",
            "telephone_number": "919-651-8416",
            "fax_number": "919-651-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "MOYA",
        "middle_name": "TIKO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.