DR. AMANDA MORENO PSY.D.
NPI 1336504687
Psychologist in San Luis Obispo, CA

Active since December 30, 2015PECOS Enrolled
CALIFORNIA MENS COLONY, HIGHWAY 1, SAN LUIS OBISPO, CA 93409(805) 547-7900 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2023, Dec 30, 2015 (2 updates tracked since 2015).

About Dr. Amanda Moreno Psy.d. NPPES

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

DR. AMANDA MORENO PSY.D. (NPI 1336504687) is an individual psychologist in San Luis Obispo, California, licensed in California (31063) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336504687
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. AMANDA MORENOCredential: PSY.D.
Location AddressCALIFORNIA MENS COLONY, HIGHWAY 1San Luis Obispo, CA 93409-0001
Mailing Address253 10th Ave, Unit 624San Diego, CA 92101-7453 · (619) 417-4779
Sole ProprietorNo
Enumeration DateDecember 30, 2015
Last NPPES UpdateDecember 15, 20232 updates tracked since enumeration
NPPES CertifiedDecember 15, 2023
NPI 1336504687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 31063
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ForensicTaxonomy 103TF0200X
CALIFORNIA MENS COLONY, San Luis Obispo, CA 93409

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Amanda Moreno Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 3

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.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
128 services39 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
97 services29 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
55 services53 patients

Other Providers at the Same Location NPPES 13

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

Internal Medicine
CALIFORNIA MENS COLONY, HIGHWAY 1 ATTENTION CHIEF MEDICAL OFFICERS OFFICE
SAN LUIS OBISPO, CA 93409
Psychologist (Clinical)
CALIFORNIA MENS COLONY, HIGHWAY 1
SAN LUIS OBISPO, CA 93409
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
CALIFORNIA MENS COLONY, HIGHWAY 1
SAN LUIS OBISPO, CA 93409
Psychiatry & Neurology (Psychiatry)
CALIFORNIA MENS COLONY, HIGHWAY 1
SAN LUIS OBISPO, CA 93409
Social Worker (Clinical)
CALIFORNIA MENS COLONY, HIGHWAY 1, COLONY DRIVE
SAN LUIS OBISPO, CA 93409
Psychiatry & Neurology (Psychiatry)
CALIFORNIA MENS COLONY, N. HWY 1
SAN LUIS OBISPO, CA 93409
Social Worker (Clinical)
CALIFORNIA MENS COLONY, HIGHWAY 1
SAN LUIS OBISPO, CA 93409
Internal Medicine (Rheumatology)
CALIFORNIA MENS COLONY, HWY 1
SAN LUIS OBISPO, CA 93409

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 Amanda Moreno's NPI number?

The NPI number for Amanda Moreno is 1336504687. It was assigned to this individual provider in the NPPES registry on December 30, 2015.

Where is Amanda Moreno located?

Amanda Moreno practices at California Mens Colony Highway 1, San Luis Obispo, CA 93409. The listed phone number is (805) 547-7900.

What is Amanda Moreno's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Amanda Moreno enrolled in Medicare?

Yes. Amanda Moreno is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Moreno was last updated on December 15, 2023. 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.