Dr. Jannis Moody, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DR. JANNIS MOODY, PLLC

Practice address

11250 West Rd Ste E
Houston, TX 77065-4439

Phone

(323) 691-9273

NPI assigned

Jun 5, 2021

Last updated

Jun 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jannis Faye Moody, PHDNPI 1821627969

Title

Owner

Phone

(323) 691-9273

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jannis Faye Moody, PHD

  • Clinical Psychologist
  • Houston, TX
  • NPI 1821627969
  NPD Authorized official

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

{
    "created_epoch": "1622851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622851200000",
    "number": "1689241051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21114 TWILA SPRINGS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952452",
            "telephone_number": "323-691-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11250 WEST RD STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654439",
            "telephone_number": "323-691-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JANNIS MOODY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-05",
        "last_updated": "2021-06-05",
        "certification_date": "2021-06-05",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "JANNIS",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-691-9273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2021; 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.