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PAT MOON
NPI 1073990404
Psychologist - Clinical in Herndon, VA

Active since May 06, 2015
2333 DULLES STATION BLVD APT I-201, HERNDON, VA 20171(626) 660-5383 Get Directions Write a Review

NPPES record last updated: May 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pat Moon NPPES

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

PAT MOON (NPI 1073990404) is an individual clinical provider in Herndon, Virginia, licensed in Virginia (0810005192) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1073990404
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NamePAT MOON
Location Address2333 DULLES STATION BLVD APT I-201Herndon, VA 20171-6398
Mailing Address2333 Dulles Station Blvd Apt I-201Herndon, VA 20171-6398 · (626) 660-5383
Phone(626) 660-5383
Sole ProprietorYes
Enumeration DateMay 6, 2015
✔ NPI 1073990404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810005192
Definition
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.
2333 DULLES STATION BLVD APT I-201, Herndon, VA 20171
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pat Moon's NPI number?

The NPI number for Pat Moon is 1073990404. It was assigned to this individual provider in the NPPES registry on May 6, 2015.

Where is Pat Moon located?

Pat Moon practices at 2333 Dulles Station Blvd Apt I-201, Herndon, VA 20171. The listed phone number is (626) 660-5383.

What is Pat Moon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Pat Moon was last updated on May 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.