DR. ROBERT PATRICK MOODY (NPI# 1790900207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790900207 |
| Entity Type | Individual |
| Full Name | DR. ROBERT PATRICK MOODY |
| Credential | PH.D. |
| Practice Address |
303 Downey Ave Modesto CA 95354-1203 |
| Practice Telephone | 2095772000 |
| Practice Fax Number | 2095772000 |
| Mailing Telephone | 2098720331 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2018-01-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 10974 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093813412 | Robert E Moody | Dentist | 538 Main St, Half Moon Bay, CA 94019-1922 | 2006-09-20 |
| 1366464604 | Robert Benjamin Moody IIi | Pharmacist | 380 Hospital Dr Ste 175-a, Macon, GA 31217-8001 | 2006-07-24 |
| 1598767345 | Robert Michael Moody | Dentist | 302 W 3rd St, Eureka, KS 67045-1404 | 2005-08-11 |
| 1679918650 | Robert Moody | Counselor | 52 W Pleasant St, Claremont, NH 03743-3055 | 2013-05-06 |
| 1912252172 | Robert Allen Moody II | Family Medicine | 1600 W University Blvd, Durant, OK 74701-3094 | 2012-07-13 |
| 1326054446 | Robert Moody | Physician Assistant | 99 Doctors Dr, Suite 700, Munford, TN 38058 | 2006-07-31 |
| Street Address |
303 DOWNEY AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95354-1203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700919479 | Karen Lynn Reid | Counselor | 303 Downey Ave, Modesto, CA 95354-1203 | 2007-03-13 |
| 1235676388 | Kamilah Aqa | Counselor | 303 Downey Ave, Modesto, CA 95354-1203 | 2017-01-27 |
| 1841638418 | Nichole Rene Cunningham | Counselor | 303 Downey Ave, Modesto, CA 95354-1203 | 2013-06-05 |
| 1396041588 | Colette D West | Case Manager/Care Coordinator | 303 Downey Ave, Modesto, CA 95354-1203 | 2011-02-04 |
| 1740593227 | Mel Wendell Bledsoe | Counselor | 303 Downey Ave, Modesto, CA 95354-1203 | 2010-07-26 |
| 1609084763 | Wamaitha Whidby | Social Worker | 303 Downey Ave, Modesto, CA 95354-9711 | 2007-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
| 1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
| 1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
| 1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
| 1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
| Find all providers in zip 95354 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871129932 | Anita Louise Pedersen-pennock | Psychologist | 2716 Cherry Creek Ct, Modesto, CA 95355-9354 | 2020-03-20 |
| 1972993509 | City Psychology, Inc. | Psychologist | 909 15th St Ste 8, Modesto, CA 95354-1130 | 2015-02-03 |
| 1154443927 | Marcus C Kluender | Psychologist | 1518 Coffee Road, Ste C, Modesto, CA 95355 | 2007-04-04 |
| 1194875377 | Nicholas George Minardi | Psychologist | 3409 Whitehorse Ave, Modesto, CA 95350-1067 | 2007-01-11 |
| 1487715777 | Gary William Zimmerman | Psychologist | 1420 'f' Street, Modesto, CA 95354 | 2006-12-12 |
| 1073671228 | Tamara Lynn Elkins | Psychologist | 802 14th St, Ste G, Modesto, CA 95354-1029 | 2006-12-04 |
| 1306880448 | Anna Maria Hall | Psychologist | 1608 Sunrise Ave, Modesto, CA 95350-4678 | 2006-06-16 |
| 1831150192 | Robert Leroy Morgan | Psychologist | 2030 Coffee Rd Ste C1, Modesto, CA 95355-2413 | 2006-03-28 |
| 1821584137 | Erin Mary Gaab Arsala | Psychologist | 4125 Bangs Ave, Modesto, CA 95356-8713 | 2018-07-10 |
| 1326547266 | Felicia M Agibi | Psychologist | 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 | 2018-02-06 |
| Find all providers in MODESTO | ||||
Please comment or provide details below to improve the information on DR. ROBERT PATRICK MOODY.
| 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.