Victor Daniel Moga, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

255360 Issued in AZ

Practice address

1300 S Litchfield Rd
Building 200 Suite a 10
Goodyear, AZ 85338-1513

Phone

(623) 250-5553

Fax

(623) 250-0600

NPI assigned

Apr 14, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Arise Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Goodyear, AZ
  • NPI 1760362495
  NPD Authorized official

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770422400000",
    "number": "1043890858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15928 W CAMDEN AVE",
            "city": "WADDELL",
            "state": "AZ",
            "postal_code": "853551209",
            "telephone_number": "602-620-0704",
            "fax_number": "623-250-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S LITCHFIELD RD",
            "address_2": "BUILDING 200 SUITE A 10",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381513",
            "telephone_number": "623-250-5553",
            "fax_number": "623-250-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15820 N 35th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850537606",
            "country_code": "US",
            "telephone_number": "866-207-3882",
            "fax_number": "602-732-4980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 N Sabin Brown Rd",
            "address_purpose": "LOCATION",
            "city": "Wickenburg",
            "state": "AZ",
            "postal_code": "853901018",
            "country_code": "US",
            "telephone_number": "928-212-8642",
            "fax_number": "928-684-3993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOGA",
        "first_name": "VICTOR",
        "middle_name": "DANIEL",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-14",
        "last_updated": "2026-02-07",
        "certification_date": "2026-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "255360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.