DR MOON PSYCHOLOGY CENTER CORP
NPI 1427902873
Psychologist in San Diego, CA
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
Specialties & Licenses 2
Group Practice 1
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)
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.