What is Dereck Moody's NPI number?

Dereck Moody's National Provider Identifier (NPI) is 1578905469, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Dereck Moody's specialty?

Dereck Moody is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).

Where is Dereck Moody located?

Dereck Moody's practice location on file with NPPES is 1218 Hickman Rd Apt 3, Jacksonville, FL 32216-1209.

What is Dereck Moody's phone number?

The practice phone number listed in the NPPES registry for Dereck Moody is (904) 781-0600.

Is Dereck Moody's NPI active?

Yes — Dereck Moody's NPI (1578905469) is active in the NPPES registry as of the last update on 2013-07-22.

IndividualActive

Dereck Moody

NPI 1578905469 · Mental Health Counselor · Jacksonville, FL

Dereck Moody is a Mental Health Counselor provider in Jacksonville, FL (NPI 1578905469).

Provider details

NPI number: 1578905469
Entity type: Individual
Primary specialty: Mental Health CounselorBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Mental Health CounselorPrimary101YM0800X
Behavioral Health & Social Service Providers

Profile Score

Established profile(71/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
12 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1218 Hickman Rd Apt 3

Jacksonville, FL 32216-1209

Phone: (904) 781-0600

Fax: (904) 781-0016

Street-level locationGet directions

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Mailing address