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DR. KATHLEEN A. MOONEY PHD
NPI 1629279906
Psychologist - Cognitive & Behavioral in Costa Mesa, CA

Active since May 31, 2007Opted out of Medicare · through Apr 1, 2028
151 KALMUS DR STE B220, COSTA MESA, CA 92626(714) 963-0528 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kathleen A. Mooney Phd NPPES

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

DR. KATHLEEN A. MOONEY PHD (NPI 1629279906) is an individual cognitive & behavioral provider in Costa Mesa, California, licensed in California (PSY11811) and active in the NPI registry since May 2007. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629279906
Entity TypeIndividualFemale
Primary Taxonomy103TB0200X
Provider Legal NameDR. KATHLEEN A. MOONEYCredential: PHD
Location Address151 KALMUS DR STE B220Costa Mesa, CA 92626-7957
Mailing Address5267 Warner Ave # 401Huntington Beach, CA 92649-4079 · (714) 963-0528
Phone(714) 963-0528
Sole ProprietorNo
Enumeration DateMay 31, 2007
Last NPPES UpdateMarch 24, 2022
NPPES CertifiedMarch 24, 2022
✔ NPI 1629279906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in CA · PSY11811
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
151 KALMUS DR STE B220, Costa Mesa, CA 92626
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kathleen A. Mooney Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

DR. LISA KRISTINA PHILLIPS PH.D.
Psychologist (Clinical)
151 KALMUS DR STE B220
COSTA MESA, CA 92626
Orange County (949) 675-0545
DR. CHRISTINE A. PADESKY PHD
Psychologist (Cognitive & Behavioral)
151 KALMUS DR STE B220
COSTA MESA, CA 92626
Orange County (714) 963-0528

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 Kathleen Mooney's NPI number?

The NPI number for Kathleen Mooney is 1629279906. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Kathleen Mooney located?

Kathleen Mooney practices at 151 Kalmus Dr Ste B220, Costa Mesa, CA 92626. The listed phone number is (714) 963-0528.

What is Kathleen Mooney's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Kathleen Mooney enrolled in Medicare?

No. Kathleen Mooney has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kathleen Mooney was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.