Active NPI
Jay B Moody, PHLEBOTOMY TECHNICIA
- Phlebotomy Technician
- Cleveland Heights, OH
National Provider Identifier
1629519566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 246RP1900X
- Practice address
- 3605 Cedarbrook Rd
Cleveland Heights, OH 44118-3046 - Phone
- (216) 855-2658
- Fax
- (216) 284-2856
- NPI assigned
- Mar 11, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | 246RP1900X | OH | Primary |
| Medical Laboratory Technician | 246RM2200X | OH | ||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
3605 Cedarbrook Rd
Cleveland Heights, OH 44118-3046
Mailing address
3605 Cedarbrook Rd
Cleveland Heights, OH 44118-3046
Phone (216) 855-2658
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 |
|---|---|---|---|
| 246RP1900X | OH | MD | Phlebotomy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Mood Healthcare | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Cleveland Heights, OH
- NPI 1245934876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764892800000",
"number": "1629519566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 CEDARBROOK RD",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "441183046",
"telephone_number": "216-855-2658",
"fax_number": "216-284-2856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 CEDARBROOK RD",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "441183046",
"telephone_number": "216-855-2658",
"fax_number": "216-284-2856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODY",
"first_name": "JAY",
"middle_name": "B",
"credential": "PHLEBOTOMY TECHNICIA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-11",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "OH",
"license": "246RP1900X",
"primary": true
},
{
"code": "246RM2200X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Medical Laboratory",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.