DR. MALLORY L MOON PSY.D.
NPI 1205496932
Psychologist - Clinical in El Cajon, CA
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Mallory Moon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92101
- Reassigned Medicare billing, California enrollment
- 545 clinicians in this Medicare group
Los Angeles, CA 90029
- Reassigned Medicare billing, California enrollment
- 104 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.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Mallory Moon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Moon reassigns Medicare benefits to 2 organizations: Cyti Health PC (San Diego, CA) and Silver Lake Psychology Inc. (Los Angeles, CA). Each 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 Mallory Moon'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 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 7 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.
# Dr. Mallory L Moon, PSY.D. · NPI 1205496932
Clinical provider in El Cajon, California. Individual provider, active in the CMS NPPES registry since June 14, 2019.
## Identity
- **NPI:** 1205496932 (Entity type: Individual)
- **Enumerated:** June 14, 2019
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 31108 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 500 FESLER ST STE 208, El Cajon, CA 92020-1946
- **Phone:** (619) 440-4211
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cyti Health PC (NPI 1679172290, San Diego, CA); Silver Lake Psychology Inc. (NPI 1932651817, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** August 26, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1205496932) · Data from the CMS NPPES public registry.