Renaldo R. Moodie Jr., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF77664 Issued in CA

Practice address

3380 La Sierra Ave
104-730
Riverside, CA 92503-5271

Phone

(818) 351-6937

NPI assigned

May 2, 2016

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)

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.

• Iclass Counseling Center, Inc.

  • Mental Health Counselor
  • Rialto, CA
  • NPI 1972315257
  NPD Authorized official
• Iclass Treatment Center Inc.

  • Mental Health Counselor
  • Rialto, CA
  • NPI 1124691365

  Marriage & Family Therapist

  NPD Authorized official
• I Choose Life Addiction Specialist

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Corona, CA
  • NPI 1124419379
  NPD (past) Authorized official

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1740635499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 LA SIERRA AVE",
            "address_2": "104-730",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035271",
            "telephone_number": "818-351-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 LA SIERRA AVE",
            "address_2": "104-730",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035271",
            "telephone_number": "818-351-6937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11801 Pierce St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925054400",
            "country_code": "US",
            "telephone_number": "909-379-4406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOODIE",
        "first_name": "RENALDO",
        "middle_name": "R.",
        "name_suffix": "Jr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-02",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF77664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Montion
• Alexia Esmeralda Montoya Perez
• Erika Montoya, BA
• Jaclyn E Montoya
• Jessica Opal Montoya
• Alyssa Kaylee Moody
• Jake Moody
• Lynette Faye Moody I
• Yvonne Reyna Moody
• Sudha Moola, MD

• Marriage & Family Therapist in Riverside, CA
• Providers in Riverside, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.