Ali Scott Moghadam

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CTB-2023-1041 Issued in NM

Practice address

8205 Spain Rd NE Ste 106
Albuquerque, NM 87109-3155

Phone

(505) 856-0300

Fax

(505) 856-7946

NPI assigned

Jun 24, 2024

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1366286239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 FLOR SILVESTRE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201354",
            "telephone_number": "505-584-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8205 SPAIN RD NE STE 106",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093155",
            "telephone_number": "505-856-0300",
            "fax_number": "505-856-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGHADAM",
        "first_name": "ALI",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CTB-2023-1041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Lyn Moede, MD
• Denise I Moedl, OTRL
• David J Moerman, M.D.
• Christopher Moffatt, LMSW
• Melinda J Moffitt, PA C
• Roxanne Zahra Moghadam, DO
• Yvonne Roacho Moghadam, LMHC/LSAA
• Amir Joseph Moghaddam, MD
• Samuel Aram Moghaddam
• Hakim Nazrid Mohammad, MSCP

• Addiction (Substance Use Disorder) Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.

Verify at the official NPI Registry.