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JACQUELYN MOFFITT
NPI 1639953474
Student in an Organized Health Care Education/Training Program in Long Beach, CA

Active since August 22, 2023
1301 PINE AVE, LONG BEACH, CA 90813(562) 595-1159(562) 486-4661 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacquelyn Moffitt NPPES

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

JACQUELYN MOFFITT (NPI 1639953474) is an individual student in an organized health care education/training program in Long Beach, California and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1639953474
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACQUELYN MOFFITT
Location Address1301 PINE AVELong Beach, CA 90813-3124
Mailing Address1301 Pine AveLong Beach, CA 90813-3124 · (562) 595-1159 · Fax (562) 486-4661
Phone(562) 595-1159
Fax(562) 486-4661
Sole ProprietorNo
Enumeration DateAugust 22, 2023
NPPES CertifiedAugust 22, 2023
✔ NPI 1639953474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1301 PINE AVE, Long Beach, CA 90813
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Other Providers at the Same Location NPPES 20

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

DR. EMILY LOUISE MINTER STAVAS PSYD.
Marriage & Family Therapist
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 595-1159
DR. CHLOE RUSSELL PSY.D.
Psychologist (Clinical)
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 595-1159
DR. MINDY MUELLER PSYD
Psychologist (Clinical)
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 216-1713
KRISTIN SIMONE MCNEESE
Social Worker (Clinical)
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 833-3502
TERESA GUILLEN
Marriage & Family Therapist
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 216-1704
SARIKA BAHL M.A.
Student in an Organized Health Care Education/Training Program
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 595-1159
DR. JOHN NICHOLAS LEGGIO
Rehabilitation Counselor
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 595-1159
GABRIELA SINOHUI
Social Worker (Clinical)
1301 PINE AVE
LONG BEACH, CA 90813
Los Angeles County (562) 595-1159

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 Jacquelyn Moffitt's NPI number?

The NPI number for Jacquelyn Moffitt is 1639953474. It was assigned to this individual provider in the NPPES registry on August 22, 2023.

Where is Jacquelyn Moffitt located?

Jacquelyn Moffitt practices at 1301 Pine Ave, Long Beach, CA 90813. The listed phone number is (562) 595-1159.

What is Jacquelyn Moffitt's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Moffitt was last updated on August 22, 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.