NICHOLE LYNN MOGHARREBAN PSYD
NPI 1013270180
Psychologist - Clinical in Stanford, CA

Active since June 22, 2012
76.5/100
CMS Quality Rating
300 PASTEUR DR, STANFORD, CA 94305(650) 723-4000 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2024, Dec 18, 2019, Aug 22, 2018 (3 updates tracked since 2018).

About Nichole Lynn Mogharreban Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLE LYNN MOGHARREBAN PSYD (NPI 1013270180) is an individual clinical provider in Stanford, California, licensed in California (PSY30199) and active in the NPI registry since June 2012. She maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1013270180
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameNICHOLE LYNN MOGHARREBANCredential: PSYD
Location Address300 PASTEUR DRStanford, CA 94305
Mailing Address300 Pasteur DrStanford, CA 94305-2200 · (650) 723-4000
Sole ProprietorNo
Enumeration DateJune 22, 2012
Last NPPES UpdateApril 29, 20243 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
NPI 1013270180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in CA · PSY30199 Licensed in WA · PY60446879
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X · License PSY30199 (CA)
Also ListedSleep Specialist, PhDTaxonomy 173F00000X · License PSY30199 (CA)
300 PASTEUR DR, Stanford, CA 94305

Secondary Practice Location 1

Location 19040 Jackson Ave Madigan Army Medical CenterTacoma, WA 98431-0001 · Phone (253) 968-2252

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.31
Promoting Interoperability100
Improvement Activities40
Cost43.95

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
300 PASTEUR DR, ALWAY BUILD M211, MC 5187
STANFORD, CA 94305
Radiology (Vascular & Interventional Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
STANFORD, CA 94305
Radiology (Diagnostic Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Nurse Practitioner
300 PASTEUR DR
STANFORD, CA 94305
Neurological Surgery
300 PASTEUR DR
STANFORD, CA 94305
Pathology (Anatomic Pathology & Clinical Pathology)
300 PASTEUR DR, LANE 235
STANFORD, CA 94305
Internal Medicine (Critical Care Medicine)
300 PASTEUR DR
STANFORD, CA 94305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nichole Mogharreban's NPI number?

The NPI number for Nichole Mogharreban is 1013270180. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Where is Nichole Mogharreban located?

Nichole Mogharreban practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 723-4000.

What is Nichole Mogharreban's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Nichole Mogharreban was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.