Lisa Moon, PH. D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810000002 Issued in VA

Practice address

2025 E Main St
Suite 207C
Richmond, VA 23223-7069

Phone

(804) 683-8651

Fax

(804) 674-4164

NPI assigned

Sep 2, 2014

Sex

Female

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)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1730589334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 SOUNDVIEW LN",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238327784",
            "telephone_number": "804-683-8651",
            "fax_number": "804-674-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E MAIN ST",
            "address_2": "SUITE 207C",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232237069",
            "telephone_number": "804-683-8651",
            "fax_number": "804-674-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PH. D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810000002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Thomas Moody
• Tori Moody, BS, QMHP
• Christian Moon
• Hannah Moon, PA-C
• Joyce Haskins Moon, RN
• Rebecca Elizabeth Moon, NP
• Christine A. Mooney, PA-C
• James Henry Mooney, MD
• Sarah Sakiyo Mooneyham
• Alicia Marie Mooradian, LCSW

• Clinical Psychologist in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.