DR. DOROTHY WINNIE MOON PSY.D.
NPI 1194904771
Psychologist - Clinical in Denver, CO

Q: What is Dorothy Moon's NPI number?

The NPI number for Dorothy Moon is 1194904771. It was assigned to this individual provider in the NPPES registry on October 30, 2007.

Q: What is Dorothy Moon's specialty?

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

Q: Is Dorothy Moon enrolled in Medicare?

No. Dorothy Moon has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Dorothy Moon was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 30, 2007Opted out of Medicare · through Oct 1, 2027

300 S JACKSON ST STE 520, DENVER, CO 80209(720) 819-5830 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Dorothy Winnie Moon Psy.d. NPPES

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

DR. DOROTHY WINNIE MOON PSY.D. (NPI 1194904771) is an individual clinical provider in Denver, Colorado, licensed in Colorado (PSY.0003594) and active in the NPI registry since October 2007. She has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1194904771

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DOROTHY WINNIE MOONCredential: PSY.D.

Location Address300 S JACKSON ST STE 520Denver, CO 80209-3133

Mailing Address300 S Jackson St Ste 520Denver, CO 80209-3133 · (720) 819-5830

Phone(720) 819-5830

Sole ProprietorNo

Enumeration DateOctober 30, 2007

Last NPPES UpdateJuly 8, 2024

NPPES CertifiedJuly 8, 2024

✔ NPI 1194904771 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 CO · PSY.0003594

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.

300 S JACKSON ST STE 520, Denver, CO 80209

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Dorothy Winnie Moon Psy.d. 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 October 1, 2025 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2025

Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$174.82 typical visit price

range $58.06 – $174.82

Typical copayment $43.70 (range $14.51 – $43.70)

Most-billed visit code 99205

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

MRS. ANA CLEMENTS-BENEDICT

Student in an Organized Health Care Education/Training Program