MS. MARIELE ANN MOORE PHD
NPI 1144358631
Psychologist - Clinical in Los Osos, CA
About Ms. Mariele Ann Moore Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARIELE ANN MOORE PHD (NPI 1144358631) is an individual clinical provider in Los Osos, California, licensed in California (PSY11506) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1985).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Mariele Ann Moore Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mariele Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90045
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Total Life Ca PC
- 47 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Mariele Moore's NPI number?
The NPI number for Mariele Moore is 1144358631. It was assigned to this individual provider in the NPPES registry on February 28, 2007.
Where is Mariele Moore located?
Mariele Moore practices at 1416 Las Encinas Dr, Los Osos, CA 93402. The listed phone number is (805) 528-3782.
What is Mariele Moore's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Mariele Moore enrolled in Medicare?
Yes. Mariele Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mariele Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mariele Moore reassigns Medicare benefits to Total Life Ca, P.C. (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mariele Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mariele Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Ms. Mariele Ann Moore, PHD · NPI 1144358631
Clinical provider in Los Osos, California. Individual provider, active in the CMS NPPES registry since February 28, 2007.
## Identity
- **NPI:** 1144358631 (Entity type: Individual)
- **Enumerated:** February 28, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY11506 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1416 LAS ENCINAS DR, Los Osos, CA 93402-4502
- **Phone:** (805) 528-3782
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Total Life Ca, P.C. (NPI 1689389603, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1985
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Other CP11506 (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1144358631) · Data from the CMS NPPES public registry.