DR MOON PSYCHOLOGY CENTER CORP
NPI 1427902873
Psychologist in San Diego, CA

Active since February 23, 2026
9663 TIERRA GRANDE ST STE 104, SAN DIEGO, CA 92126(619) 736-0333(619) 365-5994 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr Moon Psychology Center Corp NPPES

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

DR MOON PSYCHOLOGY CENTER CORP (NPI 1427902873) is a healthcare organization registered as a psychologist in San Diego, California and active in the NPI registry since February 2026. The organization lists Jeongmi Moon, President, as its authorized official.

NPPES Registry Identity

NPI1427902873
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameDR MOON PSYCHOLOGY CENTER CORP
Location Address9663 TIERRA GRANDE ST STE 104San Diego, CA 92126-4569
Mailing Address9663 Tierra Grande St Ste 104San Diego, CA 92126-4569 · (619) 736-0333 · Fax (619) 365-5994
Fax(619) 365-5994
Organization SubpartNo
Authorized OfficialJeongmi MoonPresident · (619) 736-0333
Enumeration DateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
✔ NPI 1427902873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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 · ClinicalTaxonomy 103TC0700X
9663 TIERRA GRANDE ST STE 104, San Diego, CA 92126

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr Moon Psychology Center Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr Moon Psychology Center Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1336566785
5050 LOTUS ST APT 28
San Diego, CA 92107
(619) 736-0333
✔ PECOS✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dr Moon Psychology Center Corp's NPI number?

The NPI number for Dr Moon Psychology Center Corp is 1427902873. It was assigned to this organization in the NPPES registry on February 23, 2026.

Where is Dr Moon Psychology Center Corp located?

Dr Moon Psychology Center Corp is located at 9663 Tierra Grande St Ste 104, San Diego, CA 92126. The listed phone number is (619) 736-0333.

What is Dr Moon Psychology Center Corp's specialty?

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

Is Dr Moon Psychology Center Corp enrolled in Medicare?

Yes. Dr Moon Psychology Center Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr Moon Psychology Center Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Dr Moon Psychology Center Corp. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr Moon Psychology Center Corp was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.