Active NPI
Teresa N/a Moscovich, MD
- Psychiatry Physician
- Kansas City, MO
National Provider Identifier
1720174139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 106568
- Practice address
- 4801 E . Linwood Street
Kansas City, MO 64128 - Phone
- (816) 922-2647
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 106568 | MO | Primary |
Addresses
Primary practice location
4801 E . Linwood Street
Kansas City, MO 64128
Mailing address
11407 W 141 Terrace
Overland Park, KS 66221
Phone (913) 681-2395
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106568 | MO | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720174139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11407 W 141 TERRACE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66221",
"telephone_number": "913-681-2395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 E . LINWOOD STREET",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64128",
"telephone_number": "816-922-2647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSCOVICH",
"first_name": "TERESA",
"middle_name": "N/A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "106568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
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.