Active NPI
Kay Rachel Moriarty, EDD
- Clinical Psychologist
- Fort Collins, CO
National Provider Identifier
1861557654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1189
- Practice address
- 363 W Drake Rd Ste 2
Fort Collins, CO 80526-2882 - Phone
- (970) 495-4854
- Fax
- (970) 204-7881
- NPI assigned
- Dec 22, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY.0001189 | CO | |
| Clinical Psychologist | 103TC0700X | 1189 | CO | Primary |
Addresses
Primary practice location
363 W Drake Rd Ste 2
Fort Collins, CO 80526-2882
Mailing address
363 W Drake Rd Ste 2
Fort Collins, CO 80526-2882
Phone (970) 495-4854
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 |
|---|---|---|---|
| 1189 | CO | MD | Clinical Psychologist |
| PSY.0001189 | CO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1861557654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 W DRAKE RD STE 2",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805262882",
"telephone_number": "970-495-4854",
"fax_number": "970-204-7881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 W DRAKE RD STE 2",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805262882",
"telephone_number": "970-495-4854",
"fax_number": "970-204-7881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORIARTY",
"first_name": "KAY",
"middle_name": "RACHEL",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY.0001189",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "1189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.