Individual
DR. BUICK MOOMCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2901 JUAN TABO BLVD NE, SUITE 114, ALBUQUERQUE, NM 87112-1886
(505) 615-1344
(505) 294-1344
Mailing address
PO BOX 36006, ALBUQUERQUE, NM 87176-6006
(505) 294-1344
(505) 294-1344
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0685
NM
101YM0800X
Mental Health Counselor
0685
NM
101YP2500X
Professional Counselor
0685
NM
103T00000X
Psychologist
Primary
0180-P (DM9999)
NM
103TC0700X
Clinical Psychologist
0180-P (DM9999)
NM
1041C0700X
Clinical Social Worker
233726
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00JQ22
BLUE CROSS/BLUE SHIELD
—
01
—
104433
OPTIONS PRESBYTERIAN
NM
01
—
233726 (600 &6001)
CLINICAL SOCIAL WORKER
NM
05
—
27393
—
NM
01
—
A114172
VALUE OPTIONS
NM
05
—
D3803
—
NM
01
—
IP297833
MEGELAN BEH. HEALTH
—
05
—
Z7393
—
NM
Enumeration date
07/30/2006
Last updated
09/11/2025
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