DR. MALLORY L MOON PSY.D.
NPI 1205496932
Psychologist - Clinical in El Cajon, CA

Q: What is Mallory Moon's NPI number?

The NPI number for Mallory Moon is 1205496932. It was assigned to this individual provider in the NPPES registry on June 14, 2019.

Q: What is Mallory Moon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mallory Moon was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 June 14, 2019PECOS EnrolledAccepts Medicare Assignment

500 FESLER ST STE 208, EL CAJON, CA 92020(619) 440-4211 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 26, 2019, Aug 6, 2019, Jul 26, 2019 and 1 more (4 updates tracked since 2019).

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About Dr. Mallory L Moon Psy.d. NPPES

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

DR. MALLORY L MOON PSY.D. (NPI 1205496932) is an individual clinical provider in El Cajon, California, licensed in California (31108) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1205496932

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MALLORY L MOONCredential: PSY.D.

Location Address500 FESLER ST STE 208El Cajon, CA 92020-1946

Mailing Address5237 Nannette StBonita, CA 91902-2111 · (619) 980-2942

Phone(619) 440-4211

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateJune 14, 2019

Last NPPES UpdateAugust 26, 20194 updates tracked since enumeration

✔ NPI 1205496932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 31108

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.

Also ListedPsychologistTaxonomy 103T00000X · License 31108 (CA)

500 FESLER ST STE 208, El Cajon, CA 92020

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mallory L Moon Psy.d. 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.

PECOS PAC ID6800220005

PECOS Enrollment IDI20191220002276

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92020 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

$184.71 typical visit price

range $62.10 – $184.71

Typical copayment $46.17 (range $15.52 – $46.17)

Most-billed visit code 99205

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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

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

EMILY VANNORTWICK LMFT

Marriage & Family Therapist

500 FESLER ST STE 208
EL CAJON, CA 92020

San Diego County (619) 440-4211

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 Mallory Moon's NPI number?

The NPI number for Mallory Moon is 1205496932. It was assigned to this individual provider in the NPPES registry on June 14, 2019.

Where is Mallory Moon located?

Mallory Moon practices at 500 Fesler St Ste 208, El Cajon, CA 92020. The listed phone number is (619) 440-4211.

What is Mallory Moon's specialty?

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

Is Mallory Moon enrolled in Medicare?

Yes. Mallory Moon 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.

What insurance does Mallory Moon accept?

Health plans from Providence Health Plan list Mallory Moon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mallory Moon was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.