Richard R. Mouzon, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY001098 Issued in GA

Practice address

100 Edgewood Ave NE
Atlanta, GA 30303-3026

Phone

(404) 526-9304

Fax

(404) 526-9319

NPI assigned

May 14, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Upreach, Inc

  • Adult Mental Health Clinic/Center
  • Atlanta, GA
  • NPI 1083311906
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023223864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EDGEWOOD AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033026",
            "telephone_number": "404-526-9304",
            "fax_number": "404-526-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EDGEWOOD AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033026",
            "telephone_number": "404-526-9304",
            "fax_number": "404-526-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUZON",
        "first_name": "RICHARD",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY001098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mouthpeace Dental 2, PC
• Mouthpeace Dental LLC
• Rodrica Lashae Mouton
• Felicia Moutry, L.P.C
• Sara Selina Mouzi-Escobedo, D.D.S.
• Mov2Liv Foundation Inc
• Mov2Liv LLC
• Faramarz Movagharnia, D.O., F.A.C.O.S.
• Movara LLC
• Move Across the Lifespan Physical Therapy and Wellness LLC

• Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.