Keith Moss, PH.D.
Keith Moss, PH.D. is a Clinical Psychologist in Fuquay Varina, NC, registered under NPI 1205806981. This provider registers 10 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 1808 DEL WEBB GARDENS DR, Fuquay Varina, NC 27526. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 8629 | NY | Clinical Psychologist primary |
| 8629 | NY | School Psychologist |
| 8629 | NY | Psychologist |
| 8629 | NY | Addiction (Substance Use Disorder)… |
| 8629 | NY | Adult Development & Aging Psychologist |
| 8629 | NY | Cognitive & Behavioral Psychologist |
| 008629 | NY | Clinical Psychologist |
| PP6551 | NC | Clinical Psychologist |
| TPPY2772 | FL | Clinical Psychologist |
| 8629 | NY | Counseling Psychologist |
| 8629 | NY | Clinical Child & Adolescent Psychologist |
| 8629 | NY | Family Psychologist |
| 8629 | NY | Health Service Psychologist |
Licences are recorded in 3 states: NY, NC, FL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Clinical Psychologist
- PAC ID
- 3779751102
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| New York | I20110729000260 | Practitioner - Clinical Psychologist |
| North Carolina | I20240717002718 | Practitioner - Clinical Psychologist |
Medicare enrolment is recorded as approved under the provider type Practitioner - Clinical Psychologist. There are 2 separate enrolment records across 2 states (NY, NC). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 3 states
This provider holds licences in 3 states: Florida, North Carolina and New York. The practice address on file is in Fuquay Varina, NC, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- PP6551
- Specialty
- Clinical Psychologist
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Clinical covers
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. NUCC Health Care Provider Taxonomy, code 103TC0700X
All registered taxonomy codes
This provider registers 13 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 103TC0700X | Clinical Psychologist Clinical | 8629 | NY | primary |
| 103TS0200X | School Psychologist School | 8629 | NY | |
| 103T00000X | Psychologist | 8629 | NY | |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist Addiction (Substance Use Disorder) | 8629 | NY | |
| 103TA0700X | Adult Development & Aging Psychologist Adult Development & Aging | 8629 | NY | |
| 103TB0200X | Cognitive & Behavioral Psychologist Cognitive & Behavioral | 8629 | NY | |
| 103TC0700X | Clinical Psychologist Clinical | 008629 | NY | |
| 103TC0700X | Clinical Psychologist Clinical | PP6551 | NC | |
| 103TC0700X | Clinical Psychologist Clinical | TPPY2772 | FL | |
| 103TC1900X | Counseling Psychologist Counseling | 8629 | NY | |
| 103TC2200X | Clinical Child & Adolescent Psychologist Clinical Child & Adolescent | 8629 | NY | |
| 103TF0000X | Family Psychologist Family | 8629 | NY | |
| 103TH0100X | Health Service Psychologist Health Service | 8629 | NY |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1205806981 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jan 25, 2006 |
| Last updated | Aug 21, 2024 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | PH.D. |
| Practice address |
1808 DEL WEBB GARDENS DR Fuquay Varina, NC 27526 (631) 271-8800 |
| Other identifiers |
PP6551
· Other (NC) 008629 · Other (NY) 00972665 · Medicaid (NY) TPPY2772 · Other (FL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 0 | 5 | 8 | 0 | 6 | 9 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 0 | 5 | 7 | 0 | 3 | 9 | 7 |
Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.