Active NPI
Stephanie Leigh Moses, PHD
- Psychologist
- Odessa, TX
National Provider Identifier
1306090071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 34287
- Practice address
- 701 W 5TH St
Odessa, TX 79763-4206 - Phone
- (432) 335-1777
- NPI assigned
- Nov 7, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 34287 | TX | Primary |
Addresses
Primary practice location
701 W 5TH St
Odessa, TX 79763-4206
Mailing address
701 W 5TH St
Odessa, TX 79763-4206
Phone (432) 335-5311
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34287 | TX | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1306090071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W 5TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797634206",
"telephone_number": "432-335-5311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W 5TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797634206",
"telephone_number": "432-335-1777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSES",
"first_name": "STEPHANIE",
"middle_name": "LEIGH",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-07",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "34287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.