Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Keith Cory Moss, PHD

Individual provider School Psychologist · NPI 1205806981

Dr. Keith Cory Moss, PHD is a Clinical Psychologist in Fuquay Varina, North Carolina. Qualified in 1986, 40 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Florida, North Carolina and New York.

Years since qualifying
40
Licensed in
FL, NC, NY
In the registry since
2006
Specialties on file
13
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

1808 Del Webb Gardens Dr
Fuquay Varina, NC 27526-3359
Phone: (631) 271-8800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 8629 (NY)
School Psychologist Taxonomy 103TS0200X · Licence 8629 (NY)
Psychologist Taxonomy 103T00000X · Licence 8629 (NY)
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X · Licence 8629 (NY)
Adult Development & Aging Psychologist Taxonomy 103TA0700X · Licence 8629 (NY)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence 8629 (NY)
Clinical Psychologist Taxonomy 103TC0700X · Licence 008629 (NY)
Clinical Psychologist Taxonomy 103TC0700X · Licence PP6551 (NC)
Clinical Psychologist Taxonomy 103TC0700X · Licence TPPY2772 (FL)
Counseling Psychologist Taxonomy 103TC1900X · Licence 8629 (NY)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 8629 (NY)
Family Psychologist Taxonomy 103TF0000X · Licence 8629 (NY)
Health Service Psychologist Taxonomy 103TH0100X · Licence 8629 (NY)

Record details

NPI number1205806981
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 25, 2006
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Fuquay Varina