DR. DAVE SANFORD KERBY PHD
NPI 1114463072
Psychologist - Health Service in Moore, OK

Active since January 16, 2017PECOS EnrolledAccepts Medicare Assignment
1044 SW 4TH ST, MOORE, OK 73160(405) 735-6333(405) 735-6629 Get Directions Write a Review

NPPES record last updated: January 20, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Dave Sanford Kerby Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVE SANFORD KERBY PHD (NPI 1114463072) is an individual health service provider in Moore, Oklahoma and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1114463072
Entity TypeIndividualMale
Primary Taxonomy103TH0100X
Provider Legal NameDR. DAVE SANFORD KERBYCredential: PHD
Location Address1044 SW 4TH STMoore, OK 73160-2405
Mailing Address1044 Sw 4th StMoore, OK 73160-2405 · (405) 735-6333 · Fax (405) 735-6629
Fax(405) 735-6629
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateJanuary 16, 2017
Last NPPES UpdateJanuary 20, 2017
NPI 1114463072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
Definition

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).

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 1277 (OK)
1044 SW 4TH ST, Moore, OK 73160

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Dave Sanford Kerby Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294019972
PECOS Enrollment IDI20170223002247
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Neuropsychologist
1044 SW 4TH ST
MOORE, OK 73160
Psychologist (Clinical Child & Adolescent)
1044 SW 4TH ST
MOORE, OK 73160
Psychologist (Clinical Child & Adolescent)
1044 SW 4TH ST
MOORE, OK 73160
Clinical Neuropsychologist
1044 SW 4TH ST
MOORE, OK 73160
Counselor (Mental Health)
1044 SW 4TH ST
MOORE, OK 73160
Psychologist (Clinical Child & Adolescent)
1044 SW 4TH ST
MOORE, OK 73160
Psychologist (Counseling)
1044 SW 4TH ST
MOORE, OK 73160
Psychologist (Clinical Child & Adolescent)
1044 SW 4TH ST
MOORE, OK 73160

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dave Kerby's NPI number?

The NPI number for Dave Kerby is 1114463072. It was assigned to this individual provider in the NPPES registry on January 16, 2017.

Where is Dave Kerby located?

Dave Kerby practices at 1044 SW 4th St, Moore, OK 73160. The listed phone number is (405) 735-6333.

What is Dave Kerby's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Is Dave Kerby enrolled in Medicare?

Yes. Dave Kerby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dave Kerby accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Dave Kerby as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dave Kerby was last updated on January 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.