Richard Allen Moody, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

343067-2501 Issued in UT

Practice address

1500 WSC
Counseling and Career Center - Byu
Provo, UT 84602-7906

Phone

(801) 422-3035

Fax

(801) 422-0173

NPI assigned

Sep 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922101849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WSC",
            "address_2": "COUNSELING AND CAREER CENTER - BYU",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846027906",
            "telephone_number": "801-422-3035",
            "fax_number": "801-422-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WSC",
            "address_2": "COUNSELING AND CAREER CENTER - BYU",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846027906",
            "telephone_number": "801-422-3035",
            "fax_number": "801-422-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "RICHARD",
        "middle_name": "ALLEN",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "343067-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey James Montgomery, PA-C
• Anna Marie Montoya Branez
• Adrianne Moody
• Bryn Moody
• Milo Lyman Moody, M.D.
• Adam Moore, PH.D., LMFT
• Andrew Moore
• Aubrielle Moore
• Kaprena Moore
• Thora Elisebeth Lieby Moore

• Clinical Psychologist in Provo, UT
• Providers in Provo, UT by specialty
• Clinical Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.