Individual provider Active NPI

Kenneth Moses, PHD

  • Psychologist
  • Evanston, IL
National Provider Identifier
1942871694
Registry record updated Jul 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
71-1630 Issued in IL
Practice address
237 Greenleaf St
Evanston, IL 60202-1467
Phone
(847) 778-2197
NPI assigned
Jul 4, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 71-1630 IL Primary

Addresses

Primary practice location

237 Greenleaf St
Evanston, IL 60202-1467

Mailing address

237 Greenleaf St
Evanston, IL 60202-1467
Phone (847) 778-2197

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Info@drfrangirard.com Direct
Direct Messaging Address Info@drfrangirard.com Direct

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
71-1630ILMDPsychologist

Interoperability endpoints

  • Direct secure messaging: info@drfrangirard.com

NPI Registry JSON

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

{
    "created_epoch": "1625356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625356800000",
    "number": "1942871694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 GREENLEAF ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021467",
            "telephone_number": "847-778-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 GREENLEAF ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021467",
            "telephone_number": "847-778-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSES",
        "first_name": "KENNETH",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-04",
        "last_updated": "2021-07-04",
        "certification_date": "2021-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "71-1630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@drfrangirard.com",
            "affiliation": "N",
            "endpointDescription": "Info@drfrangirard.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "237 Greenleaf St",
            "city": "Evanston",
            "state": "IL",
            "country_code": "US",
            "postal_code": "602021467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@drfrangirard.com",
            "affiliation": "N",
            "endpointDescription": "Practice email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "237 Greenleaf St",
            "city": "Evanston",
            "state": "IL",
            "country_code": "US",
            "postal_code": "602021467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2021; 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.