Active NPI
Buick Moomchi, PH.D.
- Psychologist
- Albuquerque, NM
National Provider Identifier
1184639882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0180-P (DM9999)
- Practice address
- 2901 Juan Tabo Blvd NE
Suite 114
Albuquerque, NM 87112-1886 - Phone
- (505) 615-1344
- Fax
- (505) 294-1344
- NPI assigned
- Jul 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0180-P (DM9999) | NM | |
| Clinical Social Worker | 1041C0700X | 233726 | NM | |
| Professional Counselor | 101YP2500X | 0685 | NM | |
| Mental Health Counselor | 101YM0800X | 0685 | NM | |
| Counselor | 101Y00000X | 0685 | NM | |
| Psychologist | 103T00000X | 0180-P (DM9999) | NM | Primary |
Addresses
Primary practice location
2901 Juan Tabo Blvd NE
Suite 114
Albuquerque, NM 87112-1886
Mailing address
PO Box 36006
Albuquerque, NM 87176-6006
Phone (505) 294-1344
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27393 | Medicaid | NM | |
| 00JQ22 | Other | BLUE CROSS/BLUE SHIELD | |
| IP297833 | Other | MEGELAN BEH. HEALTH | |
| 233726 (600 &6001) | Other | NM | CLINICAL SOCIAL WORKER |
| 104433 | Other | NM | OPTIONS PRESBYTERIAN |
| A114172 | Other | NM | VALUE OPTIONS |
| D3803 | Medicaid | NM | |
| Z7393 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100608000856 | NM | Practitioner - Clinical Psychologist | 3779612775 | Practice locations: Albuquerque, NM |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2617 Juan Tabo Blvd NE
Suite B
Albuquerque, NM 87112-2967
Phone (505) 615-1344
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0685 | NM | MD | Mental Health Counselor |
| 0180-P (DM9999) | NM | MD | Psychologist |
| 233726 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1184639882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36006",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871766006",
"telephone_number": "505-294-1344",
"fax_number": "505-294-1344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 JUAN TABO BLVD NE",
"address_2": "SUITE 114",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871121886",
"telephone_number": "505-615-1344",
"fax_number": "505-294-1344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOMCHI",
"first_name": "BUICK",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NM",
"license": "0180-P (DM9999)",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "233726",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0685",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0685",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NM",
"license": "0685",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NM",
"license": "0180-P (DM9999)",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "27393",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "00JQ22",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEGELAN BEH. HEALTH",
"identifier": "IP297833",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL SOCIAL WORKER",
"identifier": "233726 (600 &6001)",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIONS PRESBYTERIAN",
"identifier": "104433",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "A114172",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D3803",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z7393",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.