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MANOOCHER MOFIDI MD
NPI 1013934959
Psychiatry & Neurology - Child & Adolescent Psychiatry in Louisville, KY

Active since July 16, 2006
2225 W BROADWAY, LOUISVILLE, KY 40211(502) 589-8600(502) 589-8771 Get Directions Write a Review

NPPES record last updated: February 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Manoocher Mofidi Md NPPES

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

MANOOCHER MOFIDI MD (NPI 1013934959) is an individual child & adolescent psychiatry provider in Louisville, Kentucky, licensed in Kentucky (25630) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1013934959
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameMANOOCHER MOFIDICredential: MD
Location Address2225 W BROADWAYLouisville, KY 40211-1003
Mailing Address101 W Muhammad Ali BlvdLouisville, KY 40202-1423
Phone(502) 589-8600
Fax(502) 589-8771
Sole ProprietorYes
Enumeration DateJuly 16, 2006
Last NPPES UpdateFebruary 13, 2013
✔ NPI 1013934959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in KY · 25630
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 01037544A (IN)
2225 W BROADWAY, Louisville, KY 40211
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Other Identifiers 3

Medicare UPINE39163
Medicaid200189820AIN
Medicare ID-Type Unspecified084270AIN

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.

CAROL NELSON
Social Worker (Clinical)
2225 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 589-8600
BRITTANY SKIPPER LPCC
Counselor (Mental Health)
2225 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 589-8600
DR. BRANDON MITCHELL VAN ZILE PHARMD
Pharmacist
2225 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 774-8296
STEPHANY POND LPAT, ATR-BC
Art Therapist
2225 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 589-8600
JASEN JACKSON
Counselor
2225 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 589-1100
REZA GHARACHAMANI ASL
Case Manager/Care Coordinator
2225 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 589-8600
KIMBERLY JOELL BATES LPCC
Counselor (Professional)
2225 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 589-8910
ADRIANNE P MARSH PHARMD
Pharmacist
2225 W BROADWAY
LOUISVILLE, KY 40211
Jefferson County (502) 774-8299

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 Manoocher Mofidi's NPI number?

The NPI number for Manoocher Mofidi is 1013934959. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Manoocher Mofidi located?

Manoocher Mofidi practices at 2225 W Broadway, Louisville, KY 40211. The listed phone number is (502) 589-8600.

What is Manoocher Mofidi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Manoocher Mofidi was last updated on February 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.