Carol Arlene Moses-Robinson, MA, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.007855 Issued in IL

Practice address

110 E 79TH St
Chicago, IL 60619-2302

Phone

(773) 562-5923

Fax

(773) 288-0479

NPI assigned

Oct 14, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Carol Arlene Moses-Robinson Professional name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1871745406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 S PAXTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493215",
            "telephone_number": "773-288-0479",
            "fax_number": "773-288-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606192302",
            "telephone_number": "773-562-5923",
            "fax_number": "773-288-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES-ROBINSON",
        "first_name": "CAROL",
        "middle_name": "ARLENE",
        "name_prefix": "Dr.",
        "credential": "MA, PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20042064A",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007855",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.004604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "MOSES-ROBINSON",
            "middle_name": "ARLENE",
            "prefix": "DR.",
            "credential": "MA, PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Katelynn Mary Moser, LCSW
• Kristen Marie Moser, M.D.
• Libby Micaela Moser, MS, RDN, LDN
• William James Moser Jr., MD
• Ryder Louise Moses-Kessler, M.S., M.D.
• Lavonzell Moses-Scott
• Allen Jack Moses, D.D.S.
• Demi Moses
• Doris Moses, RN
• Duwade Marshall Moses Jr.

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.