Individual provider Active NPI

Anahvia Taiyib Moody, PHD

  • Clinical Psychologist
  • Charlotte, NC
National Provider Identifier
1215717921
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1927 Issued in SC
Practice address
2820 Selwyn Ave Ste 130-622
Charlotte, NC 28209-1785
Phone
(910) 377-1113
NPI assigned
Oct 2, 2023
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1927 SC Primary
Clinical Psychologist 103TC0700X PSY.0006223 CO

Addresses

Primary practice location

2820 Selwyn Ave Ste 130-622
Charlotte, NC 28209-1785

Mailing address

2820 Selwyn Ave Ste 130-622
Charlotte, NC 28209-1785

Other practice location 1

3506 W Tyvola Rd
Charlotte, NC 28208-7201
Phone (704) 329-1300

Other practice location 2

4025 Postal Way Unit 50142
Myrtle Beach, SC 29579-2008
Phone (910) 377-1113

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
PSY.0006223COMDClinical Psychologist
1927SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anxiety Reset Psychotherapy LLC Psychologist CurrentSince Jun 1, 2025 Accepting new patients

Locations

2820 Selwyn Ave
Ste 130622
Charlotte, NC 28209
Phone (910) 377-1113

4025 Postal Way
Unit 50142
Myrtle Beach, SC 29579
Phone (910) 377-1113

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1215717921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 SELWYN AVE STE 130-622",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282091785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 SELWYN AVE STE 130-622",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282091785",
            "telephone_number": "910-377-1113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3506 W Tyvola Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282087201",
            "country_code": "US",
            "telephone_number": "704-329-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4025 Postal Way Unit 50142",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295792008",
            "country_code": "US",
            "telephone_number": "910-377-1113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOODY",
        "first_name": "ANAHVIA",
        "middle_name": "TAIYIB",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1927",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0006223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.