Individual provider Active NPI

Terry J Moody, PHD

  • Psychologist
  • Richardson, TX
National Provider Identifier
1548340417
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
22786 Issued in TX
Practice address
1200 E Collins Blvd
Suite 300
Richardson, TX 75081
Phone
(972) 669-1733
Fax
(972) 669-1403
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 22786 TX Primary

Addresses

Primary practice location

1200 E Collins Blvd
Suite 300
Richardson, TX 75081

Mailing address

1200 E Collins Blvd
Suite 300
Richardson, TX 75081
Phone (972) 669-1733

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

LicenseStateTypeSpecialty
22786TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Minirth Clinic PA Past Accepting new patients
Hope Speaks, PLLC PastSince Jan 1, 2016 Accepting new patients
Fusion Family Consulting Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548340417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E COLLINS BLVD",
            "address_2": "SUITE 300",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75081",
            "telephone_number": "972-669-1733",
            "fax_number": "972-669-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E COLLINS BLVD",
            "address_2": "SUITE 300",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75081",
            "telephone_number": "972-669-1733",
            "fax_number": "972-669-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "TERRY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "22786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.