KEITH CORY MOSS Ph.D.
NPI 1205806981
Psychologist, School in Fuquay Varina,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 25, 2006

Contact Information

1808 Del Webb Gardens Dr
Fuquay Varina,
Post Code: 27526
Phone: (631) 271-8800
Fax: -

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Keith Cory Moss Ph.d. in Fuquay Varina - Psychologist, School

Keith Cory Moss Ph.d. is a Psychologist, School in Fuquay Varina, . Keith Cory Moss Ph.d. practices all healthcare services and medical treatments related to Psychologist, School. The NPI Number for Keith Cory Moss Ph.d. is 1205806981. The last update date is 2024-08-21.

Keith Cory Moss Ph.d.'s current location address is 1808 Del Webb Gardens Dr, Fuquay Varina, . You can contact this provider via phone number (631) 271-8800 and fax number -. The mailing address for Keith Cory Moss Ph.d. is 1808 Del Webb Gardens Dr, Fuquay Varina, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1205806981
Provider Name
KEITH CORY MOSS Ph.D.
Gender
Male
Entity Type
Individual
Location Address
1808 Del Webb Gardens Dr, Fuquay Varina,
Location Phone
(631) 271-8800
Location Fax
-
Mailing Address
1808 Del Webb Gardens Dr, Fuquay Varina, North Carolina(NC)
Mailing Phone
631-271-8800
Mailing Fax
-
Enumeration Date
2006-01-25
Last Update Date
2024-08-21
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist, Clinical

Taxonomy Code
103TC0700X
Type
-
License No.
8629
License State
New York (NY)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 103TS0200X School Psychologist

Psychologist, School

8629 (New York)
2 103T00000X Psychologist

Psychologist

8629 (New York)
3 103TA0400X Addiction (Substance Use Disorder) Psychologist

Psychologist, Addiction (Substance Use Disorder)

8629 (New York)
4 103TA0700X Adult Development & Aging Psychologist

Psychologist, Adult Development & Aging

8629 (New York)
5 103TB0200X Cognitive & Behavioral Psychologist

Psychologist, Cognitive & Behavioral

8629 (New York)
6 103TC0700X Clinical Psychologist

Psychologist, Clinical

008629 (New York)
7 103TC0700X Clinical Psychologist

Psychologist, Clinical

PP6551 (North Carolina)
8 103TC0700X Clinical Psychologist

Psychologist, Clinical

TPPY2772 (Florida)
9 103TC1900X Counseling Psychologist

Psychologist, Counseling

8629 (New York)
10 103TC2200X Clinical Child & Adolescent Psychologist

Psychologist, Clinical Child & Adolescent

8629 (New York)
11 103TF0000X Family Psychologist

Psychologist, Family

8629 (New York)
12 103TH0100X Health Service Psychologist

Psychologist, Health Service

8629 (New York)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
008629 Other (non-Medicare) (01) New York (NY) License
00972665 MEDICAID (05) New York (NY)
PP6551 Other (non-Medicare) (01) North Carolina (NC) License
TPPY2772 Other (non-Medicare) (01) Florida (FL) License

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205806981
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
220516012916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 220516012916
2 + 2 + 0 + 5 + 1 + 6 + 0 + 1 + 2 + 9 + 1 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1 1

The NPI number 1205806981 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114920162 JON DUBOSE
Individual
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TARBORO, North Carolina (NC)
252-641-7700
1033112081 JOHN PATRICK FOGARTY
Individual
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GREENVILLE, North Carolina (NC)
252-752-6101
1104829159 LABORATORY CORPORATION OF AMERICA
Organization
Clinical Medical Laboratory 531 S SPRING ST
BURLINGTON, North Carolina (NC)
800-222-7566
1174526123 EDWARD WILLIAM HOEHN-SARIC
Individual
Internal Medicine, Nephrology 293 OLMSTED BLVD STE 7
PINEHURST, North Carolina (NC)
910-295-3344
1104829142 HENRY FRANKLIN TRIPP
Individual
Family Medicine, Geriatric Medicine 3734 REYNOLDA RD
WINSTON SALEM, North Carolina (NC)
336-664-0333