Active NPI
Wendy Wood Moyer, LMFT
- Marriage & Family Therapist
- Phoenix, AZ
National Provider Identifier
1811290265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 15178
- Practice address
- 3939 E Shea Blvd
Phoenix, AZ 85028-3400 - Phone
- (480) 980-7926
- NPI assigned
- Dec 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1198 | KS | |
| Marriage & Family Therapist | 106H00000X | 15178 | AZ | Primary |
Addresses
Primary practice location
3939 E Shea Blvd
Phoenix, AZ 85028-3400
Mailing address
3939 E Shea Blvd
Phoenix, AZ 85028-3400
Phone (480) 980-7926
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1198 | KS | MD | Psychologist |
| 15178 | AZ | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466553600000",
"number": "1811290265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3939 E SHEA BLVD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850283400",
"telephone_number": "480-980-7926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 E SHEA BLVD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850283400",
"telephone_number": "480-980-7926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYER",
"first_name": "WENDY",
"middle_name": "WOOD",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-07",
"last_updated": "2016-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KS",
"license": "1198",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AZ",
"license": "15178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.