Individual provider Active NPI

Tahirih Zarrin Moffett, PSYD

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1184114449
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY31268 Issued in CA
Practice address
325 W Washington St # 2-3033
San Diego, CA 92103-1946
Phone
(619) 663-9670
NPI assigned
May 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY31268 CA Primary

Addresses

Primary practice location

325 W Washington St # 2-3033
San Diego, CA 92103-1946

Mailing address

325 W Washington St # 2-3033
San Diego, CA 92103-1946
Phone (619) 663-9670

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

LicenseStateTypeSpecialty
PSY31268CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Common Humanity Psychology, a Professional Corporation CurrentSince Feb 25, 2024 Accepting new patients

Locations

325 W Washington St
Ste 2
San Diego, CA 92103
Phone (619) 273-3231

325 W Washington St
#23033
San Diego, CA 92103
Phone (619) 663-9670

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1526083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1184114449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W WASHINGTON ST # 2-3033",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031946",
            "telephone_number": "619-663-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W WASHINGTON ST # 2-3033",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031946",
            "telephone_number": "619-663-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFETT",
        "first_name": "TAHIRIH",
        "middle_name": "ZARRIN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-12",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.