Dr. Ida Moadab, PH.D.
Dr. Ida Moadab is a Clinical Psychologist provider (Psychologist) practicing in Eugene, OR, registered in the NPPES registry with NPI 1205147675 since 2010. The credential PHD stands for Doctor of Philosophy.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1205147675 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Ida Moadab |
| Credential | PH.D. |
| Sex | Female |
| Practice address | Eugene, OR, 97401 |
| Phone | 5415545812 |
| Fax | 4582016826 |
| Enumeration date | 2010-06-30 |
| Last updated in NPPES | 2026-01-26 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 103TC0700X | Clinical Psychologist | Primary | 2510 | OR |
PHD — Doctor of Philosophy: A doctoral degree; in healthcare often held by clinical psychologists and researchers. About the PHD credential
Copy-ready billing details
Provider: Ida Moadab, PH.D. NPI: 1205147675 Taxonomy: 103TC0700X (Clinical Psychologist) Address: Eugene, OR, 97401
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1073905758 | Brent Horner | Individual | Counseling Psychologist | Eugene, OR |
| 1801289343 | Alisia Caban | Individual | Counseling Psychologist | Eugene, OR |
| 1366815490 | Audrey Medina | Individual | Counseling Psychologist | Eugene, OR |
| 1578937298 | Stacie Rowan | Individual | Psychologist | Eugene, OR |
| 1972031391 | Dr Brent Horner LLC | Organization | Counseling Psychologist | Eugene, OR |
| 1134788946 | Eugene Psychotherapy LLC | Organization | Adult Mental Health Clinic/Center | Eugene, OR |
| 1427606219 | Anna Rose | Individual | Psychologist | Eugene, OR |
| 1932758224 | Dr. Stacie Rowan, LLC | Organization | Counseling Psychologist | Eugene, OR |
Verify this record
Cross-check NPI 1205147675 against the authoritative CMS record: view Dr. Ida Moadab on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-01-26.