PEGAH MOGHADDAM PSY. D
NPI 1376841296
Psychologist in Atlanta, GA
About Pegah Moghaddam Psy. D NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEGAH MOGHADDAM PSY. D (NPI 1376841296) is an individual psychologist in Atlanta, Georgia and active in the NPI registry since March 2011. She has opted out of Medicare through February 13, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Pegah Moghaddam Psy. D has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 13, 2024 through February 13, 2028.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30338
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 Pegah Moghaddam's NPI number?
The NPI number for Pegah Moghaddam is 1376841296. It was assigned to this individual provider in the NPPES registry on March 1, 2011.
Where is Pegah Moghaddam located?
Pegah Moghaddam practices at 4536 Barclay Dr Suite A, Atlanta, GA 30338. The listed phone number is (770) 458-8711.
What is Pegah Moghaddam's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Pegah Moghaddam enrolled in Medicare?
No. Pegah Moghaddam has opted out of Medicare through February 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Pegah Moghaddam was last updated on March 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.