Active NPI
Leslie Sue Moss, M.ED.
- School Psychologist
- Cleveland, OH
National Provider Identifier
1851783104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- OHI229109
- Practice address
- 1349 E 79TH St
Cleveland, OH 44103-2864 - Phone
- (216) 838-0280
- Fax
- (216) 882-2025
- NPI assigned
- Feb 24, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | OHI229109 | OH | Primary |
Addresses
Primary practice location
1349 E 79TH St
Cleveland, OH 44103-2864
Mailing address
1349 E 79TH St
Cleveland, OH 44103-2864
Phone (216) 838-0280
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
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OHI229109 | OH | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424736000000",
"number": "1851783104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1349 E 79TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441032864",
"telephone_number": "216-838-0280",
"fax_number": "216-882-2025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1349 E 79TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441032864",
"telephone_number": "216-838-0280",
"fax_number": "216-882-2025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "LESLIE",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-24",
"last_updated": "2015-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "OHI229109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.