Living Fully Psychological Services, LLC
NPI 1639439201 · Clinical Psychologist · Decatur, GA
Living Fully Psychological Services, LLC is a Clinical Psychologist organization in Decatur, GA (NPI 1639439201).
Provider details
- NPI number
- 1639439201
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Pegah Moghaddam, Director(678) 591-9117
- License
- PSY003405 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Other names (DBA / former)
- Other name
- Pegah Moghaddam, Psy.d.
Registry dates
- Enumerated
- 2012-05-17
- Last updated
- 2013-03-04
Frequently asked questions
- What is Living Fully Psychological Services, LLC's NPI number?
- Living Fully Psychological Services, LLC's National Provider Identifier (NPI) is 1639439201, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Living Fully Psychological Services, LLC?
- Living Fully Psychological Services, LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Living Fully Psychological Services, LLC located?
- Living Fully Psychological Services, LLC's practice location on file with NPPES is 111 N Mcdonough St, Decatur, GA 30030-3317.
- What is Living Fully Psychological Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Living Fully Psychological Services, LLC is (678) 591-9117.
- Who is the authorized official for Living Fully Psychological Services, LLC?
- The authorized official listed on Living Fully Psychological Services, LLC's NPPES record is Pegah Moghaddam, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Living Fully Psychological Services, LLC's NPI active?
- Yes — Living Fully Psychological Services, LLC's NPI (1639439201) is active in the NPPES registry as of the last update on 2013-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.