PEGAH MOGHADDAM (NPI# 1376841296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376841296 |
| Entity Type | Individual |
| Full Name | PEGAH MOGHADDAM |
| Credential | PSY. D |
| Practice Address |
4536 Barclay Dr Suite A Atlanta GA 30338-7145 |
| Practice Telephone | 7704588711 |
| Practice Fax Number | 7704588640 |
| Mailing Telephone | 7704588711 |
| Mailing Fax Number | 7704588640 |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
4536 BARCLAY DR SUITE A |
| City | ATLANTA |
| State | GA |
| Zip Code | 30338-7145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356425680 | Anne L Moore | Psychologist | 4536 Barclay Dr, Suite A, Atlanta, GA 30338-5802 | 2006-10-24 |
| 1578075966 | Elizabeth Meade Fields | Counselor | 4536 Barclay Dr, Atlanta, GA 30338-7145 | 2017-10-25 |
| 1639617277 | Patricia Scruggs | Counselor | 4536 Barclay Dr, Atlanta, GA 30338-7145 | 2017-02-02 |
| 1235674375 | Wbc Georgia LLC | Psychologist | 4536 Barclay Dr, Atlanta, GA 30338-7145 | 2016-12-28 |
| 1346610789 | Unlimited Spectrum, LLC | Clinic/Center | 4536 Barclay Dr, Atlanta, GA 30338-7145 | 2015-09-28 |
| 1033462775 | Megan W Broadhead | Counselor | 4536 Barclay Dr, Suite A, Atlanta, GA 30338-7145 | 2012-10-18 |
| 1205113396 | Beth Zeigler | Counselor | 4536 Barclay Dr, Suite A, Atlanta, GA 30338-7145 | 2011-11-03 |
| 1306125380 | Ryan R Schwerzmann | Marriage & Family Therapist | 4536 Barclay Dr, Suite A, Atlanta, GA 30338-7145 | 2011-08-09 |
| 1003195900 | Eileen Brody Shaw | Counselor | 4536 Barclay Dr, Suite A, Atlanta, GA 30338-7145 | 2011-08-09 |
| 1730359787 | Rachel Rose | Psychologist | 4536 Barclay Dr, Atlanta, GA 30338-7145 | 2008-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
| 1558907774 | Brianna Harding | Pharmacist | 4608 Devonshire Road, Dunwoody, GA 30338 | 2019-11-22 |
| 1194382135 | Kadan Corporation | In Home Supportive Care | 1848 Independence Square, Suite A, Dunwoody, GA 30338 | 2019-05-24 |
| 1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
| 1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
| 1275047474 | Mary Rose Ziemba | Physical Therapist | 4516 Chamblee Dunwoody Rd # 22, Dunwoody, GA 30338 | 2017-11-27 |
| 1992223531 | Joel Moorhead | Physical Medicine & Rehabilitation | 1521 Eidson Hall Drive, Dunwoody, GA 30338 | 2017-09-05 |
| 1336667997 | Absolute Holistic Medicine | Clinic/Center | 1868 Independence Sq, Suite A, Atlanta, GA 30338 | 2017-09-05 |
| 1164947115 | Modern Dermatology Atlanta | Dermatology | 5696 Whitehall Walk, Dunwoody, GA 30338 | 2017-08-11 |
| 1366972150 | A Caring Approach To Home Health Services Inc. | In Home Supportive Care | 200 Ashford Center North, Suite 370, Atlanta, GA 30338 | 2017-06-14 |
| Find all providers in zip 30338 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568072015 | Karen A Foster | Psychologist | 2115 Dee Dee Muse Ln Nw, Atlanta, GA 30318-1503 | 2020-08-08 |
| 1154942084 | Martie Camille Belle | Psychologist | 1462 Clifton Rd Ne Ste 235, Atlanta, GA 30322-1063 | 2020-05-01 |
| 1518513738 | Narjerah Delk | Psychologist | 1226 Anchor Ter Sw, Atlanta, GA 30311-3402 | 2019-08-13 |
| 1043862907 | Lauren Barbara Mcsweeney | Psychologist | 12 Executive Park Dr Ne Ste 3000, Atlanta, GA 30329-2206 | 2019-07-11 |
| 1194285106 | Heather Ansari | Psychologist | 3715 Northside Pkwy Nw Ste 605, Atlanta, GA 30327-2886 | 2019-03-25 |
| 1588130991 | Emma Stein Psychology LLC | Psychologist | 275 Collier Rd Nw Ste 470, Atlanta, GA 30309-1711 | 2018-10-23 |
| 1073004081 | Wendi Wilson Howard | Psychologist | 2931 Paces Ferry Rd Se Ste 202e, Atlanta, GA 30339-3732 | 2018-05-24 |
| 1861980682 | Charlotte Yasinski | Psychologist | 12 Executive Park Dr Ne Fl 3, Atlanta, GA 30329-2206 | 2018-04-26 |
| 1639692478 | Lindsey Swanson Schriefer | Psychologist | 1100 Johnson Ferry Rd Ste 230, Atlanta, GA 30342-1733 | 2017-07-24 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on PEGAH MOGHADDAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.