CYRUS A MOAZAM PHD NPI 1558574814

NPI Information

  • NPI: 1558574814
  • Provider Name: CYRUS A MOAZAM, PHD
  • Classification: Psychologist - 103TB0200X
  • Specialization: Cognitive & Behavioral
  • Entity Type: Individual
  • Address: 9267 GREENBACK LN
    B-98
    ORANGEVALE, CA
    ZIP 95662
  • Phone: (916) 505-9151

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NPI Details

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
1103TA0400XPsychologistAddiction (Substance Use Disorder)PSY13748CALIFORNIANo
2103TC0700XPsychologistClinicalPSY13748CALIFORNIANo
3103TC1900XPsychologistCounselingPSY13748CALIFORNIANo
4103TF0200XPsychologistForensicPSY13748CALIFORNIANo
5103TM1800XPsychologistIntellectual and Developmental DisabilitiesPSY13748CALIFORNIANo
6103TB0200XPsychologistCognitive & BehavioralPSY13748CALIFORNIAYes

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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