Individual provider Active NPI

Sarah Moses, PSYD

  • Clinical Psychologist
  • Schriever AFB, CO
National Provider Identifier
1396208484
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009919 Issued in IL
Practice address
220 Falcon Pkwy
Schriever AFB, CO 80912-5005
Phone
(312) 285-4468
NPI assigned
Apr 7, 2019
Last updated
May 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071009919 IL Primary

Addresses

Primary practice location

220 Falcon Pkwy
Schriever AFB, CO 80912-5005

Mailing address

220 Falcon Pkwy
Schriever AFB, CO 80912-5005
Phone (312) 285-4468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190509001751 IL Practitioner - Clinical Psychologist 4587907787 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071009919ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Current Accepting new patients
Davken Associates, P.C. Clinical CurrentSince Apr 1, 2019 Accepting new patients

Locations

8170 McCormick Blvd
Ste 204
Skokie, IL 60076
Phone (847) 410-2029

Interoperability endpoints

  • Direct secure messaging: sarahmoses@tdh.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1554595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1396208484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 FALCON PKWY",
            "city": "SCHRIEVER AFB",
            "state": "CO",
            "postal_code": "809125005",
            "telephone_number": "312-285-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FALCON PKWY",
            "city": "SCHRIEVER AFB",
            "state": "CO",
            "postal_code": "809125005",
            "telephone_number": "312-285-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "SARAH",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-07",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schriever AFB, CO

Sources for this page

Verify at the official NPI Registry.