Active NPI
Richard Wayne Moczygemba, MD
- Psychiatry Physician
- Round Rock, TX
National Provider Identifier
1710913520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- H3627
- Practice address
- 1009 N Georgetown St
Round Rock, TX 78664-3289 - Phone
- (512) 244-8374
- Fax
- (512) 244-8371
- NPI assigned
- Jun 23, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | H3627 | TX | Primary |
Addresses
Primary practice location
1009 N Georgetown St
Round Rock, TX 78664-3289
Mailing address
1009 N Georgetown St
Round Rock, TX 78664-3289
Phone (512) 244-8374
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H3627 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluebonnet Trails Community MHMR Center | Past | Accepting new patients | |
| Bluebonnet Trails Community MHMR Center | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bluebonnet Trails Community Services
- Rural Health Clinic/Center
- La Grange, TX
- NPI 1518536309
-
dba Bluebonnet Trails Community Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Round Rock, TX
- NPI 1730135864
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1710913520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 N GEORGETOWN ST",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786643289",
"telephone_number": "512-244-8374",
"fax_number": "512-244-8371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 N GEORGETOWN ST",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786643289",
"telephone_number": "512-244-8374",
"fax_number": "512-244-8371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOCZYGEMBA",
"first_name": "RICHARD",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "H3627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.