IndividualActive
Victor Moga, PMHNP
NPI 1043890858 · Psychiatric/Mental Health Nurse Practitioner · Goodyear, AZ
Provider details
- NPI number
- 1043890858
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Male
- Sole proprietor
- No
- License
- 255360 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1300 S Litchfield Rd
Building 200 Suite a 10
Goodyear, AZ 85338-1513
Phone: (623) 250-5553
Fax: (623) 250-0600
Street-level locationGet directions
Mailing address
15928 W Camden Ave
Waddell, AZ 85355-1209
Additional practice locations (2)
- 15820 N 35th AvePhoenix, AZ 85053-7606Phone: (866) 207-3882Fax: (602) 732-4980
- 3400 N Sabin Brown RdWickenburg, AZ 85390-1018Phone: (928) 212-8642Fax: (928) 684-3993
Registry dates
- Enumerated
- 2021-04-14
- Last updated
- 2026-02-07
- Certified
- 2026-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.