ANDRA MARCELA ALEXANDRA MOLDAV
NPI 1023738994
Marriage & Family Therapist in Los Angeles, CA

Q: What is Andra Marcela Moldav's NPI number?

The NPI number for Andra Marcela Moldav is 1023738994. It was assigned to this individual provider in the NPPES registry on August 31, 2022.

Q: What is Andra Marcela Moldav's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Andra Marcela Moldav enrolled in Medicare?

No. Andra Marcela Moldav has opted out of Medicare through April 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since August 31, 2022Opted out of Medicare · through Apr 24, 2028

840 N AVENUE 66, LOS ANGELES, CA 90042(626) 395-7100 Get Directions Write a Review

NPPES record last updated: April 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 19, 2026, Dec 13, 2023, Sep 15, 2022 and 1 more (4 updates tracked since 2022).

On this page

About Andra Marcela Alexandra Moldav NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDRA MARCELA ALEXANDRA MOLDAV (NPI 1023738994) is an individual marriage & family therapist in Los Angeles, California, licensed in California (162849) and active in the NPI registry since August 2022. She has opted out of Medicare through April 24, 2028.

NPPES Registry Identity

NPI1023738994

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameANDRA MARCELA ALEXANDRA MOLDAV

Location Address840 N AVENUE 66Los Angeles, CA 90042-1508

Mailing AddressPo Box 421528Los Angeles, CA 90042-0528 · (347) 204-0772

Phone(626) 395-7100

Sole ProprietorNo

Enumeration DateAugust 31, 2022

Last NPPES UpdateApril 19, 20264 updates tracked since enumeration

NPPES CertifiedApril 19, 2026

✔ NPI 1023738994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 162849

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedRehabilitation PractitionerTaxonomy 225400000X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

840 N AVENUE 66, Los Angeles, CA 90042

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Andra Marcela Alexandra Moldav has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 24, 2026 through April 24, 2028.

Opt-Out Effective DateApril 24, 2026

Opt-Out In Effect ThroughApril 24, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JENNIE M. MATHESS PSY.D.

Psychologist (Clinical)