NICOLE MOODY


Address: 620 Erie Blvd W Ste 208, Syracuse, NY 13204-2457
Phone: 3154727363

NICOLE MOODY (NPI# 1457831901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457831901
Entity Type Individual
Full Name NICOLE MOODY
Credential LMFT
Practice Address 620 Erie Blvd W Ste 208
Syracuse
NY 13204-2457
Practice Telephone 3154727363
Practice Fax Number 3157012368
Mailing Telephone 3154727363
Mailing Fax Number 3157012368
Enumeration Date 2018-08-15
Last Update Date 2020-02-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor P12131 NY Behavioral Health & Social Service Providers
Y 106H00000X Marriage & Family Therapist 001645 NY Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 1336163963 05

Other Providers NICOLE MOODY

NPI Name Taxonomy Address Enumeration
1104244391 Nicole Moody Social Worker 913 W Holmes Rd, Suite 227, Lansing, MI 48910-0426 2014-04-03

Office Location

Street Address 620 ERIE BLVD W STE 208
City SYRACUSE
State NY
Zip Code 13204-2457

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477873776 Lorna Cordella Forbes Registered Nurse 620 Erie Blvd W Ste 208, Syracuse, NY 13204 2010-06-09
1811596968 Breanna Teresa Mcintyre Social Worker 620 Erie Blvd W Ste 208, Syracuse, NY 13204-2457 2020-10-20
1881293116 Elizabeth Houston Social Worker 620 Erie Blvd W Ste 208, Syracuse, NY 13204-2457 2020-10-19
1992303630 Crystal Houston Marriage & Family Therapist 620 Erie Blvd W Ste 208, Syracuse, NY 13204-2457 2020-10-14
1659913853 Amanda Marie Horth Counselor 620 Erie Blvd W Ste 208, Syracuse, NY 13204-2457 2019-10-09
1033775408 Ashley Michelle Price Nurse Practitioner 620 Erie Blvd W Ste 208, Syracuse, NY 13204-2457 2019-05-11
1538630173 Cody Patrick Campbell Social Worker 620 Erie Blvd W Ste 208, Syracuse, NY 13204-2457 2018-12-07
1497252563 Onondaga Case Management Services Inc. Clinic/Center 620 Erie Blvd W Ste 208, Syracuse, NY 13204-2457 2018-04-06
1669988788 Joann Daucher Licensed Practical Nurse 620 Erie Blvd W Ste 208, Syracuse, NY 13204-2457 2017-12-27
1538672860 Jixuan Zhao Social Worker 620 Erie Blvd W Ste 208, Syracuse, NY 13204-2457 2017-11-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417560145 Angela Hester Psychologist Behavioral Health Outpatient Clinic, 620 Erie Blvd West, Syracuse, NY 13204 2020-08-24
1366967366 Zakiya Folami Moss Nurse Practitioner 321 Gifford Street, Syracuse, NY 13204 2017-08-10
1417350497 Vickie Godbold Licensed Practical Nurse 501 Bellevue Ave, Syracuse, NY 13204 2014-10-03
1700296571 Christine Michelle Feliciano Licensed Practical Nurse 206 Merriman Ave, Syracuse, NY 13204 2014-05-02
1215358213 Mika Latoy Johnson Licensed Practical Nurse 197 Lakeview Ave, Syracuse, NY 13204 2013-12-18
1376834374 Autumn Day Novakowski Registered Nurse 800 S. Wilbur Ave, Syracuse, NY 13204 2011-04-25
1649580440 Elizabeth Elliott Carl Speech-Language Pathologist 204 Jamesville Road, Dewitt, NY 13204 2010-10-14
1699082073 Charlene Davis Licensed Practical Nurse 183 Lakeview Ave., Syr, NY 13204 2010-09-08
1043442528 Juliet Ophelia Williams-seals Licensed Practical Nurse 525 Plum St, Apt 404, Syracuse, NY 13204 2009-08-17
1164667754 Jessica Gabrielle Peppe Speech-Language Pathologist 1744 West Genesee Street, Syracuse, NY 13204 2008-12-10
Find all providers in zip 13204

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134752454 Crystal Elizabeth Hoban Marriage & Family Therapist 4922 W. Seneca Turnpike, Syracuse, NY 13215 2020-02-14
1891327540 Ashley Kessler Marriage & Family Therapist 2122 Erie Blvd E Ste C, Syracuse, NY 13224-1041 2020-02-11
1275193641 Jennifer Whang Marriage & Family Therapist 677 S Salina St, Syracuse, NY 13202-3535 2019-06-18
1134789563 Mind, Body & Spirit Marriage and Family Therapy Marriage & Family Therapist 825 Northway St, Syracuse, NY 13224-1322 2019-06-18
1801453147 Kaylea Dineen Marriage & Family Therapist 677 S Salina St Ste 200, Syracuse, NY 13202-3513 2019-05-22
1821583436 Jacqueline Amanda Weiner Marriage & Family Therapist 3532 James Street, Syracuse, NY 13206 2018-06-26
1083107106 Georgia Hicks Marriage & Family Therapist 414 Hawley Ave # 2, Syracuse, NY 13203-2410 2018-06-13
1356893903 Donna Dallal-ferne Marriage & Family Therapist 312 Hampshire Dr, Syracuse, NY 13214-1507 2016-10-31
1992162705 Breyanna Marie Locke Marriage & Family Therapist 50 Presidential Plz Ste Ll4, Syracuse, NY 13202-2229 2016-01-25
1639568967 Roberto De Giorgio Marriage & Family Therapist 1723 W 1375 S, Syracuse, UT 84075-6951 2015-01-09
Find all providers in SYRACUSE

Competitor

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City SYRACUSE
Zip Code 13204

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Dataset Information

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.

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