DR. BUICK MOOMCHI PH.D. NPI 1184639882

NPI Information

  • NPI: 1184639882
  • Provider Name: DR. BUICK MOOMCHI, PH.D.
  • Classification: Psychologist - 103T00000X
  • 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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NPI Details

DR. Buick Moomchi, PH.D. is a psychologist in Albuquerque, NM with 21 years of experience. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. 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 9/11/2025.

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
1103TC0700XPsychologistClinical0180-P (DM9999)NEW MEXICONo
21041C0700XSocial WorkerClinical233726NEW MEXICONo
3101YP2500XCounselorProfessional0685NEW MEXICONo
4101YM0800XCounselorMental Health0685NEW MEXICONo
5101Y00000XCounselor0685NEW MEXICONo
6103T00000XPsychologist0180-P (DM9999)NEW MEXICOYes

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
127393MEDICAIDNEW MEXICO
200JQ22OTHERBLUE CROSS/BLUE SHIELD
3IP297833OTHERMEGELAN BEH. HEALTH
4233726 (600 &6001)OTHERNEW MEXICOCLINICAL SOCIAL WORKER
5104433OTHERNEW MEXICOOPTIONS PRESBYTERIAN
6A114172OTHERNEW MEXICOVALUE OPTIONS
7D3803MEDICAIDNEW MEXICO
8Z7393MEDICAIDNEW MEXICO

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: 11/21/2025

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