Active NPI
Edward E. Moody Jr., PH.D.
- Psychologist
- Clayton, NC
National Provider Identifier
1982808911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1637
- Practice address
- 101 Bradborne Cir
Clayton, NC 27527-4508 - Phone
- (919) 359-2797
- NPI assigned
- Jun 13, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2085 | NC | |
| Psychologist | 103T00000X | 1637 | NC | Primary |
Addresses
Primary practice location
101 Bradborne Cir
Clayton, NC 27527-4508
Mailing address
101 Bradborne Cir
Clayton, NC 27527-4508
Phone (919) 359-2797
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1637 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 2085 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1982808911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 BRADBORNE CIR",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275274508",
"telephone_number": "919-359-2797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BRADBORNE CIR",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275274508",
"telephone_number": "919-359-2797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODY",
"first_name": "EDWARD",
"middle_name": "E.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "2085",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "1637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.