Gregory Moody, LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LAC-18841 Issued in AZ

Practice address

8079 N 85TH Way
Scottsdale, AZ 85258-4321

Phone

(480) 261-5015

NPI assigned

Apr 22, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ryan M Sheade LCSW LLC

  • Clinical Social Worker
  • Scottsdale, AZ
  • NPI 1063831592
  NPD

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1720722069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5982 W TULSA ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262713",
            "telephone_number": "602-421-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8079 N 85TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584321",
            "telephone_number": "480-261-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC-18841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia Dawn Montgomery, R.D., CDE
• Kassandra Montijo
• Manuel Alejandro Montoya Hernandez, MD
• Andrea Montoya, PH.D.
• Anna Montuori, RPH
• Lisa Moody
• Leslie Ann Moog, PA-S
• Farouk Mookadam, M.D.
• Martina Mookadam, M.D.
• Moore Solutions

• Counselor in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.