Active NPI
Naghmeh Moadab, PSYD
- Rehabilitation Psychologist
- Atlanta, GA
National Provider Identifier
1174371413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- License
- 6301019344
- Practice address
- 2020 Peachtree Rd NW
Atlanta, GA 30309-1465 - Phone
- (404) 603-5062
- NPI assigned
- May 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | 6301019344 | MI | Primary |
Addresses
Primary practice location
2020 Peachtree Rd NW
Atlanta, GA 30309-1465
Mailing address
2144 Peachtree Rd NW Apt 505
Atlanta, GA 30309-1638
Phone (804) 731-7890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301019344 | MI | MD | Rehabilitation Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1174371413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2144 PEACHTREE RD NW APT 505",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091638",
"telephone_number": "804-731-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 PEACHTREE RD NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091465",
"telephone_number": "404-603-5062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOADAB",
"first_name": "NAGHMEH",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-10",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "MI",
"license": "6301019344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.