Paul Moglia, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

010055 Issued in NY

Practice address

984 N Broadway
Suite 411
Yonkers, NY 10701-1318

Phone

(914) 964-0336

Fax

(516) 255-8453

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Counseling Psychology, PC

  • Clinical Psychologist
  • Yonkers, NY
  • NPI 1558323295
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1710949441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 N BROADWAY",
            "address_2": "SUITE 411",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011318",
            "telephone_number": "914-964-0336",
            "fax_number": "516-255-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 N BROADWAY",
            "address_2": "SUITE 411",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011318",
            "telephone_number": "914-964-0336",
            "fax_number": "516-255-8453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGLIA",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010055",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "03589",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01539959",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7841302",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mahtab Moaveni
• Jaffer Mobeen, MD
• Mobile Adult Nurse Practitioner Services PLLC
• Matthew Paul Mocol, MD
• Franca Mofunanya, RN
• Brandon Mohabir, PHARMD
• Ezatolah Mohajer-Shojai, MD
• Emad Mohamed, RPH
• Faranak Mohammadpour, M.D.
• Amir Mohammed, PMHNP-BC

• Clinical Psychologist in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.

Verify at the official NPI Registry.