Active NPI
Matthew Moffitt, PH.D.
- Clinical Psychologist
- Tucson, AZ
National Provider Identifier
1285142638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4923
- Practice address
- 6700 N Oracle Rd Ste 411
Tucson, AZ 85704-7734 - Phone
- (520) 800-4843
- NPI assigned
- Jan 19, 2018
- Last updated
- Oct 4, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4923 | AZ | Primary |
Addresses
Primary practice location
6700 N Oracle Rd Ste 411
Tucson, AZ 85704-7734
Mailing address
6700 N Oracle Rd Ste 411
Tucson, AZ 85704-7734
Phone (520) 800-4843
Other practice location 1
535 N Wilmot Rd
Tucson, AZ 85711-2600
Phone (520) 694-5720
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)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True North Psychological Services, LLC | Clinical | Past | Accepting new patients |
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
- Oro Valley, AZ
- NPI 1154934867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1285142638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 N ORACLE RD STE 411",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857047734",
"telephone_number": "520-800-4843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 N ORACLE RD STE 411",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857047734",
"telephone_number": "520-800-4843"
}
],
"practiceLocations": [
{
"address_1": "535 N Wilmot Rd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857112600",
"country_code": "US",
"telephone_number": "520-694-5720",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOFFITT",
"first_name": "MATTHEW",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-19",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "4923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.