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DR. IDA MOADAB PH.D.
NPI 1205147675
Psychologist - Clinical in Eugene, OR

Active since June 30, 2010PECOS Enrolled
132 E BROADWAY STE 301, EUGENE, OR 97401(541) 554-5812(458) 201-6826 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 26, 2026, Jun 10, 2019 (2 updates tracked since 2019).

About Dr. Ida Moadab Ph.d. NPPES

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

DR. IDA MOADAB PH.D. (NPI 1205147675) is an individual clinical provider in Eugene, Oregon, licensed in Oregon (2510) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205147675
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. IDA MOADABCredential: PH.D.
Location Address132 E BROADWAY STE 301Eugene, OR 97401-3154
Mailing AddressPo Box 5832Eugene, OR 97405-0832 · (541) 554-5812 · Fax (458) 201-6826
Phone(541) 554-5812
Fax(458) 201-6826
Sole ProprietorYes
Enumeration DateJune 30, 2010
Last NPPES UpdateJanuary 26, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1205147675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in OR · 2510
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.
132 E BROADWAY STE 301, Eugene, OR 97401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ida Moadab Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.64 typical visit price
range $54.96 – $166.64
Typical copayment $41.66 (range $13.74 – $41.66)
Most-billed visit code 99205
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

REBECCA SUE FULLER MA, LPC
Counselor (Professional)
132 E BROADWAY STE 301
EUGENE, OR 97401
Lane County (541) 579-8644
DR. BRENT HORNER PH.D.
Psychologist (Counseling)
132 E BROADWAY STE 301
EUGENE, OR 97401
Lane County (541) 206-7080
EUGENE PSYCHOTHERAPY LLC
Clinic/Center (Adult Mental Health)
132 E BROADWAY STE 301
EUGENE, OR 97401
Lane County (541) 515-7800
DR. AUDREY MEDINA PH.D.
Psychologist (Counseling)
132 E BROADWAY STE 301
EUGENE, OR 97401
Lane County (541) 224-8434
DR. ANNA ROSE
Psychologist
132 E BROADWAY STE 301
EUGENE, OR 97401
Lane County (541) 337-9612
STACIE ROWAN PH.D.
Psychologist
132 E BROADWAY STE 301
EUGENE, OR 97401
Lane County (541) 337-5301
ALISIA CABAN PHD
Psychologist (Counseling)
132 E BROADWAY STE 301
EUGENE, OR 97401
Lane County (541) 357-9766
DR. STACIE ROWAN, LLC
Psychologist (Counseling)
132 E BROADWAY STE 301
EUGENE, OR 97401
Lane County (541) 337-5301

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 Ida Moadab's NPI number?

The NPI number for Ida Moadab is 1205147675. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Where is Ida Moadab located?

Ida Moadab practices at 132 E Broadway Ste 301, Eugene, OR 97401. The listed phone number is (541) 554-5812.

What is Ida Moadab's specialty?

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

Is Ida Moadab enrolled in Medicare?

Yes. Ida Moadab is registered in the Medicare PECOS enrollment system.

What insurance does Ida Moadab accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Ida Moadab as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ida Moadab was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.