MATT MOORADIAN,PSY,D. P.C.
NPI 1275794869
Psychologist - Clinical in Munster, IN
About Matt Mooradian,psy,d. P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATT MOORADIAN,PSY,D. P.C. (NPI 1275794869) is a healthcare organization registered as a clinical in Munster, Indiana and active in the NPI registry since June 2008. The organization lists Matt Mooradian, Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Matt Mooradian,psy,d. P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Matt Mooradian,psy,d. P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Matt Mooradian,psy,d. P.C.'s NPI number?
The NPI number for Matt Mooradian,psy,d. P.C. is 1275794869. It was assigned to this organization in the NPPES registry on June 17, 2008.
Where is Matt Mooradian,psy,d. P.C. located?
Matt Mooradian,psy,d. P.C. is located at 9245 Calumet Ave Suite 102, Munster, IN 46321. The listed phone number is (219) 836-3101.
What is Matt Mooradian,psy,d. P.C.'s specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Matt Mooradian,psy,d. P.C. enrolled in Medicare?
Yes. Matt Mooradian,psy,d. P.C. is registered in the Medicare PECOS enrollment system.
When is Matt Mooradian,psy,d. P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Matt Mooradian,psy,d. P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Matt Mooradian,psy,d. P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Matt Mooradian,psy,d. P.C. was last updated on March 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Matt Mooradian,psy,d. P.c. · NPI 1275794869
Clinical organization in Munster, Indiana. Organization record, active in the CMS NPPES registry since June 17, 2008.
## Identity
- **NPI:** 1275794869 (Entity type: Organization)
- **Enumerated:** June 17, 2008
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Matt Mooradian, PSYCHOLOGIST
## Practice location
- **Address:** 9245 CALUMET AVE, SUITE 102, Munster, IN 46321-2821
- **Phone:** (219) 836-3101
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2009
- **Other identifiers:** Medicare PIN 203670 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1275794869) · Data from the CMS NPPES public registry.