Daniel Moshofsky, PSYD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

18840 SW Boones Ferry Rd Ste 208
Tualatin, OR 97062-9688

Phone

(503) 427-2394

NPI assigned

May 14, 2017

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

Opted out of Medicare

Yes, effective Mar 7, 2023 through Mar 7, 2027

Medicare enrollment (NPD)

Not enrolled

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.

• Northwest ADHD Treatment Center

  • Mental Health Counselor
  • Tualatin, OR
  • NPI 1851827638
  NPD (past)

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

{
    "created_epoch": "1494720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494720000000",
    "number": "1083141618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18840 SW BOONES FERRY RD STE 208",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629688",
            "telephone_number": "503-427-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18840 SW BOONES FERRY RD STE 208",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629688",
            "telephone_number": "503-427-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHOFSKY",
        "first_name": "DANIEL",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-14",
        "last_updated": "2017-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayumi Mizuno, AGNP-C
• MK Ortho LLC
• Barbara K Moore, MD
• Victoria Nan Moore, DMD
• Mary E. Morrison, PA-C
• Nima Motamedi, M.D.
• Erika Mote, FNP
• Roberta Mower, DC
• Mark C Moylan, MD
• Julie Michele Mullin, RN

• Mental Health Counselor in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.