Sheree Moskow, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

AS-6P Issued in AR

Practice address

304 W Collin Raye Dr Ste 103a
De Queen, AR 71832-2000

Phone

(870) 200-9294

Fax

(833) 615-0500

NPI assigned

Mar 17, 2006

Last updated

Apr 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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 AR, LA, FL3 enrollments

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 3

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doctor on Demand Professionals P CGroup PAC ID 9436464567, 113 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sheree.moskow.1@30520.direct.athenahealth.com

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.

• Doctor on Demand Professionals P C

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1174931448

  AR, FL, LA, Psychologist

  Medicare reassignment Care Compare group NPD
• Transitions Counseling Clinic PLC

  • Professional Counselor
  • De Queen, AR
  • NPI 1902501281

  Psychologist

  Medicare reassignment NPD
• Chenal Family Therapy, PLC

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1356604219
  NPD
• Southwest Arkansas Counseling and Mental Health Center, Inc

  • Community/Behavioral Health Agency
  • De Queen, AR
  • NPI 1194975102
  NPD (past)
• Southwest Arkansas Counseling and Mental Health Center, Inc

  • Community/Behavioral Health Agency
  • Texarkana, AR
  • NPI 1598761553
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1235108663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W COLLIN RAYE DR STE 103A",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718322000",
            "telephone_number": "870-200-9294",
            "fax_number": "833-615-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W COLLIN RAYE DR STE 103A",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718322000",
            "telephone_number": "870-200-9294",
            "fax_number": "833-615-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1312 W Collin Raye Dr",
            "address_purpose": "LOCATION",
            "city": "De Queen",
            "state": "AR",
            "postal_code": "718322135",
            "country_code": "US",
            "telephone_number": "870-584-7115",
            "fax_number": "870-642-3388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSKOW",
        "first_name": "SHEREE",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "LA",
            "license": "952",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AR",
            "license": "AS-6P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Keith Mitchell, MD
• Tessa Michele Moody, PT
• Autumn Morales, APRN
• Miriam Carreon Morales
• Ginger Lee Morris
• Katy Ann Moss
• Vishwanatha S Nadig, MD
• Megan Kathleen Neal
• Jami Nicole Nevels
• Nho, LLC

• Psychologist in De Queen, AR
• Providers in De Queen, AR by specialty
• Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.