Individual provider Active NPI

Joshua Stuart Moran, DO

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Norfolk, VA
National Provider Identifier
1407350747
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
0102206114 Issued in VA
Practice address
6275 E Virginia Beach Blvd Ste 303
Norfolk, VA 23502-2851
Phone
(757) 722-9961
NPI assigned
Mar 21, 2018
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 0102206114 VA Primary

Addresses

Primary practice location

6275 E Virginia Beach Blvd Ste 303
Norfolk, VA 23502-2851

Mailing address

6275 E Virginia Beach Blvd Ste 303
Norfolk, VA 23502-2851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230130000281 VA Practitioner - Psychiatry 1850646670 Reassigns benefits to 1 organization
I20240307002538 DC Practitioner - Psychiatry 1850646670 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jan 8, 2023 Accepting new patients

Locations

6076 Franconia Rd
Ste D
Alexandria, VA 22310
Phone (703) 828-9054

3804 Poplar Hill Rd
Unit D
Chesapeake, VA 23321
Phone (757) 414-6427

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

1901 E Franklin St
Ste 108
Richmond, VA 23223
Phone (804) 331-2570

5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498

509 Old Great Neck Rd
Ste 203
Virginia Beach, VA 23454
Phone (479) 381-7603

2501 Hunter Pl
Ste 202
Woodbridge, VA 22192
Phone (304) 940-9724

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.

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1407350747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6275 E VIRGINIA BEACH BLVD STE 303",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6275 E VIRGINIA BEACH BLVD STE 303",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022851",
            "telephone_number": "757-722-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "JOSHUA",
        "middle_name": "STUART",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "VA",
            "license": "0102206114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.