Active NPI
Kadija Moon, PHD, MED
- Psychologist
- Spring, TX
National Provider Identifier
1952035479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 39586
- Practice address
- 24624 I-45 North
Ste 200
Spring, TX 77386 - Phone
- (832) 910-9817
- NPI assigned
- Jul 11, 2022
- Last updated
- Nov 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 80787 | TX | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | TX | ||
| Mental Health Counselor | 101YM0800X | 80787 | TX | |
| Psychologist | 103T00000X | 39586 | TX | Primary |
| Counseling Psychologist | 103TC1900X | 39586 | TX |
Addresses
Primary practice location
24624 I-45 North
Ste 200
Spring, TX 77386
Mailing address
24624 I-45 North
Ste 200
Spring, TX 77386
Phone (832) 910-9817
Other practice location 1
4888 Loop Central Dr
Houston, TX 77081-2227
Phone (713) 838-9098
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, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80787 | TX | MD | Mental Health Counselor |
| 39586 | TX | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669334400000",
"number": "1952035479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24624 I-45 NORTH",
"address_2": "STE 200",
"city": "SPRING",
"state": "TX",
"postal_code": "77386",
"telephone_number": "832-910-9817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24624 I-45 NORTH",
"address_2": "STE 200",
"city": "SPRING",
"state": "TX",
"postal_code": "77386",
"telephone_number": "832-910-9817"
}
],
"practiceLocations": [
{
"address_1": "4888 Loop Central Dr",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770812227",
"country_code": "US",
"telephone_number": "713-838-9098",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOON",
"first_name": "KADIJA",
"name_prefix": "Dr.",
"credential": "PHD, MED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-11",
"last_updated": "2022-11-25",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "80787",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "80787",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "39586",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "39586",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.