Nima Moayedi, PSYD

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

27997 Issued in CA

Practice address

23282 Mill Creek Dr Ste 260
Laguna Hills, CA 92653-1683

Phone

(949) 412-2311

NPI assigned

Jun 21, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1730400029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23282 MILL CREEK DR STE 260",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531683",
            "telephone_number": "949-436-6122",
            "fax_number": "949-305-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23282 MILL CREEK DR STE 260",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531683",
            "telephone_number": "949-412-2311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31625 Highway 101 S",
            "address_purpose": "LOCATION",
            "city": "Soledad",
            "state": "CA",
            "postal_code": "939609529",
            "country_code": "US",
            "telephone_number": "831-286-0043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOAYEDI",
        "first_name": "NIMA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-21",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "CA",
            "license": "27997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roya Misaghian, AMFT
• Mission Elder Care, Inc.
• Robby Mitchell
• Roberto Kenji Mitsui Akagi, M.D.
• Mjoanmccloskey,LMFT
• Kimberly A Moberly, M.A.
• Mobile Sonography
• Mobisurg, Inc.
• Ediloida Eleazar Mock, LVN
• Moeller Naturopathic Medicine, Inc

• Health Service Psychologist in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Health Service Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.