Individual provider Active NPI

Zachary Moran, PH.D.

  • Clinical Psychologist
  • Madison, WI
National Provider Identifier
1801285812
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3239-57 Issued in WI
Practice address
7633 Ganser Way
Ste 204
Madison, WI 53719-2092
Phone
(608) 829-1800
NPI assigned
Jan 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3239-57 WI Primary

Addresses

Primary practice location

7633 Ganser Way
Ste 204
Madison, WI 53719-2092

Mailing address

7633 Ganser Way
Ste 204
Madison, WI 53719-2092

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 Philosophy

State licenses

LicenseStateTypeSpecialty
3239-57WIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Temenos Psychology LLC Clinical CurrentSince Apr 28, 2024 Accepting new patients
Mental Health Solutions SC PastSince Sep 1, 2016 Accepting new patients

Locations

2918 Marketplace Dr
Ste 210
Fitchburg, WI 53719
Phone (608) 535-9964

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1801285812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 GANSER WAY",
            "address_2": "STE 204",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 GANSER WAY",
            "address_2": "STE 204",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192092",
            "telephone_number": "608-829-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-14",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "3239-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.