Vicki L Moss, PH.D. – Psychologist in Johnston, RI

Key facts

NPI: 1851422604
Entity type: Individual (NPI type 1)
Primary specialty: Psychologist 103T00000X
License: 208 (RI)
Practice address: 1395 Atwood Ave
Suite 213
Johnston, RI 02919-4929
Phone: (401) 944-9888
Fax: (401) 944-5888
NPI assigned: Mar 7, 2007
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Align Physical Therapy Physical Therapy Clinic/Center · Wakefield, RI · NPI 1710367255

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file
Eligible to order & refer: Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Philosophy

State licenses

License	State	Type	Specialty
208	RI	MD	Psychologist

Practice roles

Organization	Specialty	Status	New patients
Align Physical Therapy		Current since Jan 1, 2019	Accepting new patients

Locations

24 Salt Pond Rd
Ste D4
Wakefield, RI 02879
Phone (401) 667-4965

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychologist	103T00000X	208	RI	Yes

Addresses

Primary practice location

1395 Atwood Ave
Suite 213
Johnston, RI 02919-4929

Mailing address

74 Charles Harpin Rd
Foster, RI 02825-1100
Phone (401) 627-7189

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851422604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 CHARLES HARPIN RD",
            "city": "FOSTER",
            "state": "RI",
            "postal_code": "028251100",
            "telephone_number": "401-627-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 ATWOOD AVE",
            "address_2": "SUITE 213",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029194929",
            "telephone_number": "401-944-9888",
            "fax_number": "401-944-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "VICKI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "RI",
            "license": "208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

All providers in Johnston, RI · Psychologist in Rhode Island

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.