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NICOLE MOODY LMFT
NPI 1457831901
Marriage & Family Therapist in Syracuse, NY

Active since August 15, 2018
620 ERIE BLVD W STE 208, SYRACUSE, NY 13204(315) 472-7363(315) 701-2368 Get Directions Write a Review

NPPES record last updated: February 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2020, Aug 15, 2018 (2 updates tracked since 2018).

About Nicole Moody Lmft NPPES

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

NICOLE MOODY LMFT (NPI 1457831901) is an individual marriage & family therapist in Syracuse, New York, licensed in New York (001645) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1457831901
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameNICOLE MOODYCredential: LMFT
Location Address620 ERIE BLVD W STE 208Syracuse, NY 13204-2457
Mailing Address620 Erie Blvd W Ste 208Syracuse, NY 13204-2457 · (315) 472-7363 · Fax (315) 701-2368
Phone(315) 472-7363
Fax(315) 701-2368
Sole ProprietorNo
Enumeration DateAugust 15, 2018
Last NPPES UpdateFebruary 6, 20202 updates tracked since enumeration
✔ NPI 1457831901 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 NY · 001645
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 ListedCounselorTaxonomy 101Y00000X · License P12131 (NY)
620 ERIE BLVD W STE 208, Syracuse, NY 13204
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Other Identifiers 1

Medicaid1336163963NY

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.

ASHLEY MICHELLE PRICE DNP PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
620 ERIE BLVD W STE 208
SYRACUSE, NY 13204
Onondaga County (315) 472-7363
LORNA CORDELLA FORBES FNP
Nurse Practitioner (Psychiatric/Mental Health)
620 ERIE BLVD W STE 208
SYRACUSE, NY 13204
Onondaga County (315) 472-7363
ONONDAGA CASE MANAGEMENT SERVICES INC.
Clinic/Center (Adult Mental Health)
620 ERIE BLVD W STE 208
SYRACUSE, NY 13204
Onondaga County (315) 472-7363
MR. CODY PATRICK CAMPBELL
Social Worker
620 ERIE BLVD W STE 208
SYRACUSE, NY 13204
Onondaga County (315) 472-7363
JIXUAN ZHAO
Social Worker
620 ERIE BLVD W STE 208
SYRACUSE, NY 13204
Onondaga County (315) 427-7363
JOANN DAUCHER LPN
Licensed Practical Nurse
620 ERIE BLVD W STE 208
SYRACUSE, NY 13204
Onondaga County (315) 472-7363
BREANNA TERESA MCINTYRE LMSW
Social Worker
620 ERIE BLVD W STE 208
SYRACUSE, NY 13204
Onondaga County (315) 472-7363
ELIZABETH HOUSTON LMSW
Social Worker
620 ERIE BLVD W STE 208
SYRACUSE, NY 13204
Onondaga County (315) 472-7363

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 Nicole Moody's NPI number?

The NPI number for Nicole Moody is 1457831901. It was assigned to this individual provider in the NPPES registry on August 15, 2018.

Where is Nicole Moody located?

Nicole Moody practices at 620 Erie Blvd W Ste 208, Syracuse, NY 13204. The listed phone number is (315) 472-7363.

What is Nicole 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 Nicole Moody was last updated on February 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.