KEVIN LONNELL MOODY NPI 1750226775

NPI Information

  • NPI: 1750226775
  • Provider Name: KEVIN LONNELL MOODY
  • Classification: Psychologist - 103TH0100X
  • Specialization: Health Service
  • Entity Type: Individual
  • Address: 5905 NASSAU ST
    DISTRICT HEIGHTS, MD
    ZIP 20747
  • Phone: (227) 225-7800

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NPI Details

Kevin Lonnell Moody is a health service psychologist in District Heights, MD. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). Kevin Lonnell Moody NPI is 1750226775. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5905 NASSAU ST
DISTRICT HEIGHTS, MD
ZIP 20747-218
Phone: (227) 225-7800

The enumeration date for this NPI number is 4/23/2026 and was last updated on 4/23/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TH0100XPsychologistHealth ServiceMARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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