Skye Porter Moffitt, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

32837 Issued in TX

Practice address

6350 Lyndon B Johnson Fwy
Suite 151
Dallas, TX 75240-6403

Phone

(214) 549-8783

Fax

(972) 392-9695

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Skye Moffitt PH.D., PLLC

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1932692290
  NPD (past) Authorized official
• Noelle K. McDonald, PH.D.

  • Adult Mental Health Clinic/Center
  • Dallas, TX
  • NPI 1871735373
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801945415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 LYNDON B JOHNSON FWY",
            "address_2": "SUITE 151",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406403",
            "telephone_number": "214-549-8783",
            "fax_number": "972-392-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 LYNDON B JOHNSON FWY",
            "address_2": "SUITE 151",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406403",
            "telephone_number": "214-549-8783",
            "fax_number": "972-392-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFITT",
        "first_name": "SKYE",
        "middle_name": "PORTER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0065MX",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Moen
• Todd C. Moen, M.D.
• Jonell Moffett-Prince
• Shanesa Moffett
• Rashia M Moffitt, CNA
• Paula Marie Mofor, MD
• Bethel Moges
• Michael Mogg, DO
• Noela L. Mogga, MD
• Arianna Mogharrabi

• Clinical Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Psychologist in Texas

• 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.

Verify at the official NPI Registry.