Masood Moghaddam

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MASOOD MOGHADDAM

Practice address

5975 Entrada Ave
Atascadero, CA 93422-4223

Phone

(805) 703-3540

Fax

(805) 466-9765

NPI assigned

Mar 19, 2020

Organization subpart

No

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

Authorized official

Name

Masood Moghaddam

Title

Owner

Phone

(805) 703-3540

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brad Thomas Barcklay, PSY.D.

  • Clinical Psychologist
  • Atascadero, CA
  • NPI 1366721151
  NPD (past)
• Stacy Lynn Hutton, PH.D.

  • Counseling Psychologist
  • Templeton, CA
  • NPI 1952737488
  NPD (past)

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1114553344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 ENTRADA AVE",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224223",
            "telephone_number": "805-703-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 ENTRADA AVE",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224223",
            "telephone_number": "805-703-3540",
            "fax_number": "805-466-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASOOD MOGHADDAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "MOGHADDAM",
        "authorized_official_first_name": "MASOOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-703-3540"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joaquin Martinez
• Maria Lourdes Maningding Martinez, FNP
• Holly Martone, D.C.
• Mary L Spurgeon
• Lynn Ann Maskel
• Alexis Danielle Masters
• Ambrose Matheny
• Jude Matheny
• Brandi Michelle Mathews, PSY.D.
• Christine Marie Mathiesen, PSYD

• Clinical Social Worker in Atascadero, CA
• Providers in Atascadero, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.