DR. MATT ALAN MOORADIAN (NPI# 1487768982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487768982 |
| Entity Type | Individual |
| Full Name | DR. MATT ALAN MOORADIAN |
| Credential | PSY.D. |
| Practice Address |
9245 Calumet Ave Suite 102 Munster IN 46321-2821 |
| Mailing Address |
3513 42nd St Highland IN 46322-3126 |
| Practice Telephone | 2198363101 |
| Practice Fax Number | 2198363102 |
| Mailing Telephone | 2198363101 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2009-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
071-004894 | IL | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20040803A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200019650A | 05 | |
| IL | BCBS | 9927419 | 01 |
| Street Address |
9245 CALUMET AVE SUITE 102 |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-2821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235607862 | Gsmercy Home Health Care Servces, Inc. | Home Health | 9245 Calumet Ave, Munster, IN 46321-2821 | 2018-11-13 |
| 1396101424 | Divine Home Health Services Inc | Home Health | 9245 Calumet Ave, Ste 107, Munster, IN 46321-2821 | 2016-01-05 |
| 1467889196 | Wellpoint Home Health,inc | Home Health | 9245 Calumet Ave, Suite 107, Munster, IN 46321-2821 | 2013-09-26 |
| 1487094546 | Lorri Lynn Glass | Social Worker | 9245 Calumet Ave, Suite 101b, Munster, IN 46321-2821 | 2013-07-03 |
| 1831322965 | Corpia Chantle Keyes | Internal Medicine | 9245 Calumet Ave, Ste 100a, Munster, IN 46321-2821 | 2009-08-24 |
| 1275794869 | Matt Mooradian,psy,d. P.C. | Psychologist | 9245 Calumet Ave, Suite 102, Munster, IN 46321-2821 | 2008-06-17 |
| 1114123437 | Comfort Healthcare Corp | Home Health | 9245 Calumet Ave, Suite 205, Munster, IN 46321-2821 | 2007-06-23 |
| 1548385669 | Valerie D Wise Burrell | Social Worker | 9245 Calumet Ave, Suite 101-a, Munster, IN 46321-2821 | 2007-03-20 |
| 1689724890 | Irena M Walters | Psychologist | 9245 Calumet Ave, Suite 201c, Munster, IN 46321 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| Find all providers in zip 46321 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1487998589 | Heather Plinovich | Psychologist | 900 Ridge Rd Ste F, Munster, IN 46321-1727 | 2012-11-15 |
| 1851545206 | M. Barbara Jones | Psychologist | 900 Ridge Rd Ste C, Munster, IN 46321-1727 | 2008-11-12 |
| 1851460968 | Caryl H. Rosen | Psychologist | 9250 Columbia Ave Ste 2f, Munster, IN 46321 | 2006-11-06 |
| 1386665867 | Jill A Miller | Psychologist | 8521 Northcote Ave, Munster, IN 46321-2025 | 2006-07-21 |
| 1154316966 | Avraham Sharfman | Psychologist | 7550 Hohman Ave, Ste 1200a, Munster, IN 46321-1060 | 2005-09-19 |
| 1295729770 | Warren D. Ugent | Psychologist | 1049 Heather Ln, Munster, IN 46321-3506 | 2005-09-09 |
| 1760482798 | John Michael Zivich | Psychologist | 32 Ridge Rd, Munster, IN 46321-1518 | 2005-08-01 |
| 1619412160 | Nwi Clarity Clinic | Psychologist | 9250 Columbia Ave, Suite E2, Munster, IN 46321-3538 | 2016-12-19 |
| 1144640582 | Anxiety & Ocd Behavioral Health Center | Psychologist | 900 Ridge Rd, F, Munster, IN 46321-1726 | 2014-04-24 |
| Find all providers in MUNSTER | ||||
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| 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.