DR. MARJAN MOINZADEH PHD
NPI 1366540510
Psychologist - Clinical in San Ramon, CA

Q: What is Marjan Moinzadeh's NPI number?

The NPI number for Marjan Moinzadeh is 1366540510. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Marjan Moinzadeh's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marjan Moinzadeh was last updated on March 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment

2821 CROW CANYON RD STE 202, SAN RAMON, CA 94583(925) 895-2296(925) 553-7881 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Marjan Moinzadeh Phd NPPES

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

DR. MARJAN MOINZADEH PHD (NPI 1366540510) is an individual clinical provider in San Ramon, California, licensed in California (PSY18938) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Jose, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1366540510

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARJAN MOINZADEHCredential: PHD

Location Address2821 CROW CANYON RD STE 202San Ramon, CA 94583

Mailing Address2821 Crow Canyon Rd Ste 202San Ramon, CA 94583-1659 · (925) 895-2296 · Fax (925) 837-2191

Phone(925) 895-2296

Fax(925) 553-7881

Sole ProprietorYes

Medical School CMSOtherGraduated 1998

Enumeration DateSeptember 20, 2006

Last NPPES UpdateMarch 28, 2019

✔ NPI 1366540510 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 CA · PSY18938

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.

2821 CROW CANYON RD STE 202, San Ramon, CA 94583

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Secondary Practice Location 1

Location 12375 Forest AveSan Jose, CA 95128-4610 · Phone (925) 895-2296

Other Identifiers 1

Other760743773CA · Ein

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marjan Moinzadeh Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668423807

PECOS Enrollment IDI20050204000768

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 94583 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

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

KATHARINE FRIEND LCSW

Social Worker (Clinical)