DR. BUICK MOOMCHI PH.D. NPI 1184639882

NPI Information

NPI: 1184639882
Provider Name: DR. BUICK MOOMCHI, PH.D.
Classification: Counselor - 101Y00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2901 JUAN TABO BLVD NE
SUITE 114
ALBUQUERQUE, NM
ZIP 87112
Phone: (505) 615-1344
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DR. Buick Moomchi, PH.D. is a counselor in Albuquerque, NM with 19 years of experience. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. DR. Buick Moomchi, PH.D. NPI is 1184639882. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2901 JUAN TABO BLVD NE
SUITE 114
ALBUQUERQUE, NM
ZIP 87112-886
Phone: (505) 615-1344
Fax: (505) 294-1344

The NPI 1184639882 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		0685	NEW MEXICO	Yes
2	103T00000X	Psychologist		0180-P (DM9999)	NEW MEXICO	X
3	101YP2500X	Counselor	Professional	0685	NEW MEXICO	X
4	103TC0700X	Psychologist	Clinical	0180-P (DM9999)	NEW MEXICO	X
5	1041C0700X	Social Worker	Clinical	233726	NEW MEXICO	X
6	101YM0800X	Counselor	Mental Health	0685	NEW MEXICO	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A114172	OTHER	NEW MEXICO	VALUE OPTIONS
2	D3803	MEDICAID	NEW MEXICO
3	Z7393	MEDICAID	NEW MEXICO
4	00JQ22	OTHER		BLUE CROSS/BLUE SHIELD
5	IP297833	OTHER		MEGELAN BEH. HEALTH
6	233726 (600 &6001)	OTHER	NEW MEXICO	CLINICAL SOCIAL WORKER
7	27393	MEDICAID	NEW MEXICO
8	104433	OTHER	NEW MEXICO	OPTIONS PRESBYTERIAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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