PEGAH MOGHADDAM, PSY.D.
NPI 1639439201
Psychologist - Clinical in Decatur, GA

Q: What is Living Fully Psychological Services, LLC's specialty?

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

Active since May 17, 2012

111 N MCDONOUGH ST, DECATUR, GA 30030(678) 591-9117(770) 458-8640 Get Directions Write a Review

NPPES record last updated: March 4, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pegah Moghaddam, Psy.d. NPPES

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

PEGAH MOGHADDAM, PSY.D. (NPI 1639439201) is a healthcare organization registered as a clinical in Decatur, Georgia and active in the NPI registry since May 2012. The organization lists Pegah Moghaddam, Director, as its authorized official.

NPPES Registry Identity

NPI1639439201

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameLIVING FULLY PSYCHOLOGICAL SERVICES, LLC

Location Address111 N MCDONOUGH STDecatur, GA 30030-3317

Mailing Address111 N Mcdonough StDecatur, GA 30030-3317 · (678) 591-9117 · Fax (770) 458-8640

Phone(678) 591-9117

Fax(770) 458-8640

Organization SubpartNo

Authorized OfficialPegah MoghaddamDirector · (678) 591-9117

Enumeration DateMay 17, 2012

Last NPPES UpdateMarch 4, 2013

✔ NPI 1639439201 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 GA · PSY003405

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.

111 N MCDONOUGH ST, Decatur, GA 30030

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Other Names 1

Other NamePegah Moghaddam, Psy.d.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

DR. ALISON MEGAN NATHANSON PHD

Psychologist (Clinical)