Active NPI
Donald Jack Moss, M.D.
- Psychiatry Physician
- Carnation, WA
National Provider Identifier
1790046134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD00032290
- Practice address
- 32619 NE 50TH St
Carnation, WA 98014-6305 - Phone
- (425) 333-5544
- NPI assigned
- Jun 1, 2012
- Last updated
- Jun 1, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | MD00032290 | WA | Primary |
Addresses
Primary practice location
32619 NE 50TH St
Carnation, WA 98014-6305
Mailing address
32619 NE 50TH St
Carnation, WA 98014-6305
Phone (425) 333-5544
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 |
|---|---|---|---|
| MD00032290 | WA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sammamish Valley Psychological Services, P.S. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Redmond, WA
- NPI 1154404028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338508800000",
"number": "1790046134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32619 NE 50TH ST",
"city": "CARNATION",
"state": "WA",
"postal_code": "980146305",
"telephone_number": "425-333-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32619 NE 50TH ST",
"city": "CARNATION",
"state": "WA",
"postal_code": "980146305",
"telephone_number": "425-333-5544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "DONALD",
"middle_name": "JACK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-01",
"last_updated": "2012-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD00032290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carnation, WA
- Joanna Frazier McBride, LMFT
- Andrew Edward McCommons, L.M.P.
- Meow Institute (immersion FORCE)
- Rhonda Shannon Mitchell, CPM, LM
- Gloria Jean Morrison, ARNP
- Mother & Child Natural Medicine (Tolt River Family Medicine)
- National Birth Centers, Inc.
- Jenny Lynne Oltmann, PERSONAL TRAINER
- Janna Marion Ott, DPT
- Brandi Nichole Painter
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.