Dara Moradzadeh, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY 24742 Issued in CA

Practice address

1425 Broadway Ste 2
Burlingame, CA 94010-3434

Phone

(650) 503-3636

NPI assigned

Jul 16, 2012

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Memory Check Psychological Services, a Professional Corporation

  • Clinical Psychologist
  • Carlsbad, CA
  • NPI 1912184219
  NPD

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1275888364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 BROADWAY STE 2",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103434",
            "telephone_number": "650-503-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 BROADWAY STE 2",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103434",
            "telephone_number": "650-503-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORADZADEH",
        "first_name": "DARA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 24742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Frances Molloy
• Monazza Navid Chaudhry LLC (A&O Peninsula Pharmacy)
• Alexandra Margarita Monrroy, PMHNP-BC
• Lara L Montoya, MFTI
• Jeffrey Dean Moon, D.C.
• Marie Christine Morales, P.T.
• Amy M Moran, OTR/L
• Caroline Claire Morey, RDN
• Beverley Jackson Morgan, M.D.
• Richard Brent Morgan, MD

• Psychologist in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.