P Praxis·MD
● Active Type 1 · Individual

Pegah Moghaddam, PSY. D

Psychologist·Atlanta, GA· NPI 1376841296 · Enumerated 2011 · 15 years on NPI
Moghaddam is 1 of 321 psychologist providers in Atlanta and 1 of 1114 in Georgia.
NPI age
15 years
Enumerated 2011-03-01
Primary specialty
Psychologist
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2011-03-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1114 active psychologist providers in Georgia.

NPI age
15 years
↓ 2 yr below median (17 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-03Enumerated in NPPES
2011 2026

Where they practice

Practice location
4536 Barclay Dr, Suite A
Atlanta, GA 303387145
📞 7704588711fax 7704588640
Mailing address
4536 Barclay Dr, Suite A
Atlanta, GA 303387145
📞 7704588711fax 7704588640

Specialties

  • Psychologist Primary
    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,...
    taxonomy 103T00000X

Practice context

Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.

Recently enumerated nearby: 5 new psychologist providers have been added in Atlanta in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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