Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205147675 Individual Practitioner Female Practitioner

Dr. Ida Moadab , PhD

Psychologist - Clinical • Eugene, OR

Professional Overview & Biography Verified Profile Summary

Dr. Ida Moadab, PhD is a registered healthcare professional specializing in Psychologist - Clinical in Eugene, OR. Practice services are available at 132 E BROADWAY STE 301 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

132 E Broadway Ste 301

Eugene, OR 974013154

Telephone 5415545812
Fax 4582016826
Associated Practice Facility / Clinic
🏢 Dr Brent Horner Llc Facility NPI 1972031391

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Eugene, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.8 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
90 Specialists

Practicing in Eugene, OR (1193 Statewide)

Telehealth Adoption Rate
4.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-26
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License OR 2510

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Rebecca Fuller , MA, LPC

Counselor - Professional

NPI 1013548213

Master of Arts, Licensed Professional Counselor

Dr. Brent Horner , PhD

Psychologist - Counseling

NPI 1073905758

Doctor of Philosophy (Ph.D.)

Dr. Audrey Medina , PhD

Psychologist - Counseling

NPI 1366815490

Doctor of Philosophy (Ph.D.)

Anna Rose

Psychologist

NPI 1427606219
NPI 1578937298

Doctor of Philosophy (Ph.D.)

Dr. Alisia Caban , PhD

Psychologist - Counseling

NPI 1801289343

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 26, 2026

Registered at 132 E BROADWAY STE 301, EUGENE, OR 974013154 (Tel: 5415545812)

📍
Updated Business Mailing Address January 26, 2026

Registered at PO BOX 5832, EUGENE, OR 974050832 (Tel: 5415545812)

📍
Updated Practice Location June 10, 2019

Registered at 101 E BROADWAY STE 400, EUGENE, OR 974013104 (Tel: 5413579764)

NPI Profile Active October 20, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 20, 2014

Registered at 291 W 12TH AVE, EUGENE, OR 974013409 (Tel: 5413579764)

📍
Updated Business Mailing Address October 20, 2014

Registered at 291 W 12TH AVE, EUGENE, OR 974013409 (Tel: 5413579764)

👤
Provider Name / Credentials Updated October 20, 2014

Recorded as IDA MOADAB, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2014

Psychologist (License #2510 in OR)

🟢
Initial NPI Registration & Enumeration June 30, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205147675
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2010
Last Update: January 26, 2026
Sole Proprietor: Yes

Mailing Address

Po Box 5832

Eugene, OR 974050832

Phone: 5415545812

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.