Active NPI
Kevin Moino, PHD
- Clinical Psychologist
- Richmond, VA
National Provider Identifier
1528858099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810008907
- Practice address
- 8401 Mayland Dr Ste a
Richmond, VA 23294-4648 - Phone
- (202) 964-7882
- NPI assigned
- May 8, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 | 0810008907 | VA | Primary |
Addresses
Primary practice location
8401 Mayland Dr Ste a
Richmond, VA 23294-4648
Mailing address
910 15TH St NW Apt 1001
Washington, DC 20005-2521
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810008907 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1528858099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 15TH ST NW APT 1001",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200052521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 MAYLAND DR STE A",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232944648",
"telephone_number": "202-964-7882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOINO",
"first_name": "KEVIN",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-08",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810008907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
- Sujit Kumar Mohanty, DDS
- Cherri Mohler, PHARM D
- Steven R. Mohlie, M. D.
- Mohs Surgery Center of Richmond Dermatology, PLLC (Mohs Center of Richmond Dermatology)
- Sherin Moideen, MD
- Irfan Ahmed Moinuddin, MD
- Ali Reza Mojarad, DDS
- Yasamin Mojarad, DDS
- Patricia Mary Mojzak, CNM
- Sasan Moghanjoghi Mokhtari, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.