Active NPI
Anahvia Taiyib Moody, PHD
- Clinical Psychologist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1927
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY.0006223 | CO | MD | Clinical Psychologist |
| 1927 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anxiety Reset Psychotherapy LLC | Psychologist | Current | 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.
-
- Clinical Psychologist
- Charlotte, NC
- NPI 1205721107
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.