CYRUS A MOAZAM PHD NPI 1558574814

NPI Information

NPI: 1558574814
Provider Name: CYRUS A MOAZAM, PHD
Classification: Psychologist - 103TB0200X
Entity Type: Individual

Specialization: Cognitive & Behavioral

Address:
9267 GREENBACK LN
B-98
ORANGEVALE, CA
ZIP 95662
Phone: (916) 505-9151
Get Directions

Cyrus A Moazam, PHD is a cognitive and behavioral psychologist in Orangevale, CA. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. Cyrus A Moazam, PHD NPI is 1558574814. 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:

9267 GREENBACK LN
B-98
ORANGEVALE, CA
ZIP 95662-863
Phone: (916) 505-9151
Fax: (916) 988-7864

The enumeration date for this NPI number is 5/7/2007 and was last updated on 4/20/2012.

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	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	PSY13748	CALIFORNIA	No
2	103TC0700X	Psychologist	Clinical	PSY13748	CALIFORNIA	No
3	103TC1900X	Psychologist	Counseling	PSY13748	CALIFORNIA	No
4	103TF0200X	Psychologist	Forensic	PSY13748	CALIFORNIA	No
5	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	PSY13748	CALIFORNIA	No
6	103TB0200X	Psychologist	Cognitive & Behavioral	PSY13748	CALIFORNIA	Yes

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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