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KEVIN PATRICK MOODY
NPI 1124543970
Marriage & Family Therapist in Campbell, CA

Active since August 12, 2017
46 N 2ND ST, CAMPBELL, CA 95008(408) 345-5572 Get Directions Write a Review

NPPES record last updated: May 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2022, Mar 10, 2020, Jul 12, 2018 and 1 more (4 updates tracked since 2017).

About Kevin Patrick Moody NPPES

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

KEVIN PATRICK MOODY (NPI 1124543970) is an individual marriage & family therapist in Campbell, California, licensed in California (AMFT118244) and active in the NPI registry since August 2017. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124543970
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameKEVIN PATRICK MOODY
Location Address46 N 2ND STCampbell, CA 95008
Mailing Address46 N 2nd StCampbell, CA 95008-2026 · (408) 827-5644
Phone(408) 345-5572
Sole ProprietorNo
Enumeration DateAugust 12, 2017
Last NPPES UpdateMay 28, 20224 updates tracked since enumeration
NPPES CertifiedMay 28, 2022
✔ NPI 1124543970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · AMFT118244
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
46 N 2ND ST, Campbell, CA 95008
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1251 Llewellyn AveCampbell, CA 95008 · Phone (408) 761-2286
Location 2499 Loma Alta AveLos Gatos, CA 95030-6227 · Phone (408) 515-9577

Other Identifiers 1

Medicaid171M00000XCA

Other Providers at the Same Location NPPES 7

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

PRISCILLA CHAN
Marriage & Family Therapist
46 N 2ND ST
CAMPBELL, CA 95008
Santa Clara County (408) 345-5572
SUZANNE FREEMAN MCKENNA MA, LMFT
Marriage & Family Therapist
46 N 2ND ST
CAMPBELL, CA 95008
Santa Clara County (408) 345-5572
DEBORAH TAN
Counselor (Mental Health)
46 N 2ND ST
CAMPBELL, CA 95008
Santa Clara County (408) 345-5572
FAMILY TREE WELLNESS, INC
Counselor (Mental Health)
46 N 2ND ST
CAMPBELL, CA 95008
Santa Clara County (408) 345-5572
MARIANNA KATERINA BABIOLAKIS AMFT
Marriage & Family Therapist
46 N 2ND ST
CAMPBELL, CA 95008
Santa Clara County (408) 345-5572
JAMIE LYNN VAN ZANEN LCSW
Counselor (Mental Health)
46 N 2ND ST
CAMPBELL, CA 95008
Santa Clara County (408) 827-8865
SKUKURA CLEMONS
Marriage & Family Therapist
46 N 2ND ST
CAMPBELL, CA 95008
Santa Clara County (408) 345-5572

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 Kevin Moody's NPI number?

The NPI number for Kevin Moody is 1124543970. It was assigned to this individual provider in the NPPES registry on August 12, 2017.

Where is Kevin Moody located?

Kevin Moody practices at 46 N 2nd St, Campbell, CA 95008. The listed phone number is (408) 345-5572.

What is Kevin Moody's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Kevin Moody was last updated on May 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.