DR. RANDY K MOSS (NPI# 1134586654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134586654 |
| Entity Type | Individual |
| Full Name | DR. RANDY K MOSS |
| Credential | PH.D. |
| Practice Address |
447 N 300 W Kaysville UT 84037-4203 |
| Mailing Address |
4589 Ranch Blvd Mountain Green UT 84050-5515 |
| Practice Telephone | 9072325374 |
| Practice Fax Number | 8015443819 |
| Mailing Telephone | 9072325374 |
| Mailing Fax Number | 8015443819 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487832093 | Randy Wayne Moss | Optometrist | 109 Wp Malone, Arkadelphia, AR 71923 | 2008-02-06 |
| Street Address |
447 N 300 W |
| City | KAYSVILLE |
| State | UT |
| Zip Code | 84037-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952466690 | Association for Personal Development PC | Social Worker | 447 N 300 W, Ste 7, Kaysville, UT 84037-4203 | 2006-12-22 |
| 1437452745 | Brock Bennett | Chiropractor | 447 N 300 W, Suite #5, Kaysville, UT 84037-4203 | 2010-12-08 |
| 1033431366 | Rbd &c Inc | Chiropractor | 447 N 300 W, Suite 6, Kaysville, UT 84037-4203 | 2010-03-01 |
| 1487803912 | Stephen G Pritt | Student in an Organized Health Care Education/Training Program | 447 N 300 W, Suite 7, Kaysville, UT 84037-4203 | 2008-09-09 |
| 1033325089 | Quassapaug Ventures | Psychologist | 447 N 300 W, Suite 7, Kaysville, UT 84037-4203 | 2007-05-15 |
| 1285857540 | Craig F. Buhler | Chiropractor | 447 N 300 W, Suite #5, Kaysville, UT 84037-4203 | 2007-04-11 |
| 1174665525 | Chiro Mat Clinic | Preferred Provider Organization | 447 N 300 W, Ste. #5, Kaysville, UT 84037-4203 | 2007-02-13 |
| 1205983145 | Ann R Rothlisberger | Counselor | 447 N 300 W, Suite 7, Kaysville, UT 84037-4203 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306400247 | Denise Ellen Kearl | Counselor | 283 N 300 W, Ste. 501, Kaysville, UT 84037 | 2019-04-25 |
| 1679060958 | Carrie Marie Nash | Massage Therapist | 307 N 300 W Ste 303, Kaysville, UT 84037 | 2018-04-22 |
| 1679010433 | Nature's Whisper Massage | Massage Therapist | 175 W 200 N, Kaysville, UT 84037 | 2017-01-31 |
| 1184969883 | Dee Milton Marble | Counselor | 845 West 200 North, Kaysville, UT 84037 | 2012-12-06 |
| 1134429384 | Intermountain Medical Monitoring LLC | Anesthesiology | 1306 Deer Crest, Fruit Heights, UT 84037 | 2010-10-21 |
| 1437470143 | Garison Dan Couser | Dentist | 250 West 200 North Suite#2, Kaysville, UT 84037 | 2010-06-16 |
| 1174854392 | Maeli Merrill | Massage Therapist | 302n. Main St., Kaysville, UT 84037 | 2010-01-28 |
| 1760711725 | Home Comfort Care LLC. | Adult Companion | 672 E. 1625 S., Kaysville, UT 84037 | 2009-12-21 |
| 1508195744 | Jacqueline S Silkey | Dermatology | 192 S. Main St, Kaysville, UT 84037 | 2009-12-17 |
| 1336394410 | Michael C Yeates | Family Medicine | 380 North 400 West, Tanner Memorial Clinic, Kaysville, UT 84037 | 2008-11-17 |
| Find all providers in zip 84037 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074805 | Adam Scalese | Psychologist | 216 W 380 S, American Fork, UT 84003-2976 | 2020-08-18 |
| 1437796836 | Michael Ray Williams | Psychologist | 3319 N University Ave Ste 100, Provo, UT 84604-4447 | 2019-12-04 |
| 1578113510 | Phillip Dale Rash | Psychologist | 1424 W 430 S, Provo, UT 84601-3986 | 2019-09-11 |
| 1174005508 | Cameron Ronald John | Psychologist | 3375 W. Mayflower Way, Suite A, Lehi, UT 84043 | 2018-09-01 |
| 1760929707 | Melissa Kay Jones | Psychologist | 4132 Timpview Dr, Provo, UT 84604-5128 | 2017-01-29 |
| 1780043604 | Brigg Noyes, Phd | Psychologist | 160 S 1000 E Ste 310, Suite 310, Salt Lake City, UT 84102-1474 | 2016-02-19 |
| 1225400203 | Ellen Behrens | Psychologist | 2394 Daybreaker Dr, Park City, UT 84098-5880 | 2015-10-29 |
| 1922478650 | Karen Cone-uemura | Psychologist | 201 S 1460 East, Salt Lake City, UT 84112-9061 | 2015-10-07 |
| 1417332206 | Sarah Knowlton | Psychologist | 242 S 800 W, Orem, UT 84058-5353 | 2015-07-22 |
| 1790181576 | Ronald Chamberlain | Psychologist | 320 East 600 South, St. George, UT 84770 | 2014-11-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. RANDY K MOSS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.