Active NPI
Mary Beth Moehl
- Psychologist
- Chesterfield, VA
National Provider Identifier
1326538877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4989
- Practice address
- 10111 Krause Rd
Chesterfield, VA 23832-6573 - Phone
- (804) 318-8249
- NPI assigned
- May 10, 2018
- 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 | 4989 | MA | Primary |
Addresses
Primary practice location
10111 Krause Rd
Chesterfield, VA 23832-6573
Mailing address
PO Box 40
Chesterfield, VA 23832-0903
Phone (804) 318-8249
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4989 | MA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1326538877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "238320903",
"telephone_number": "804-318-8249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10111 KRAUSE RD",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "238326573",
"telephone_number": "804-318-8249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOEHL",
"first_name": "MARY BETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-10",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "4989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.