Bonnie Moses, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

012929 Issued in NY

Practice address

200 W 70TH St Apt 16R
New York, NY 10023-4329

Phone

(917) 645-2738

NPI assigned

Jul 19, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1235819772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 70TH ST APT 16R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 70TH ST APT 16R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234329",
            "telephone_number": "917-645-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "BONNIE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristanta Mosende-Reyes, M.D.
• Marc Moser, DPM
• Akini Moses, MD
• Allison T Moses, DDS
• Andrew Moses, M.D.
• Daniel Aaron Moses, M.D.
• Hannah Elizabeth Moses
• Ira Moses, PH.D., ABPP
• Jacqueline Leigh Moses
• Jeffrey Warren Moses, M.D.

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.