MOIRA HALLER PH.D.
NPI 1790143477
Psychologist - Clinical in San Diego, CA

Q: What is Moira Haller's NPI number?

The NPI number for Moira Haller is 1790143477. It was assigned to this individual provider in the NPPES registry on February 9, 2016.

Q: What is Moira Haller's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Moira Haller enrolled in Medicare?

No. Moira Haller has opted out of Medicare through April 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Moira Haller was last updated on February 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since February 09, 2016Opted out of Medicare · through Apr 28, 2027

3350 LA JOLLA VILLAGE DR, 116B, SAN DIEGO, CA 92161(858) 552-8585(858) 552-7414 Get Directions Write a Review

NPPES record last updated: February 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Moira Haller Ph.d. NPPES

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

MOIRA HALLER PH.D. (NPI 1790143477) is an individual clinical provider in San Diego, California, licensed in California (27262) and active in the NPI registry since February 2016. She has opted out of Medicare through April 28, 2027.

NPPES Registry Identity

NPI1790143477

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMOIRA HALLERCredential: PH.D.

Location Address3350 LA JOLLA VILLAGE DR, 116BSan Diego, CA 92161-0002

Mailing Address3350 La Jolla Village Dr, 116bSan Diego, CA 92161-0002 · (858) 552-8585 · Fax (858) 552-7414

Phone(858) 552-8585

Fax(858) 552-7414

Sole ProprietorNo

Enumeration DateFebruary 9, 2016

✔ NPI 1790143477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 27262

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3350 LA JOLLA VILLAGE DR, San Diego, CA 92161

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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

Moira Haller Ph.d. 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 28, 2023 through April 28, 2027.

Opt-Out Effective DateApril 28, 2023

Opt-Out In Effect ThroughApril 28, 2027Opt-out affidavits renew automatically every two years unless cancelled

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. JENNIFER ANNE FREIMUND M.D.

Internal Medicine (Geriatric Medicine)

3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161

San Diego County (858) 552-7475

MRS. LINDA REID HOLLAND PT

Physical Therapist

3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161

San Diego County (858) 552-7487

DR. JONATHAN M MEYER M.D.

Psychiatry & Neurology (Psychiatry)

3350 LA JOLLA VILLAGE DR, 116-A
SAN DIEGO, CA 92161

San Diego County (858) 642-3570

ANDREW BISMARK

Psychologist (Clinical)

3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161

San Diego County (858) 245-5825

LORNA FRANCES DOUCETTE

Pharmacist (Psychiatric)

3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161

San Diego County (828) 545-5072

MS. LISA ARAI PHARM.D.

Pharmacist (Psychiatric)

3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161

San Diego County (858) 552-8585

HAYLEY MARIE HOWELLS MPT

Physical Therapist

3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161

San Diego County (858) 642-3138

JOAN MARIE FITZGERALD RN, MSN, FNP

Nurse Practitioner (Family)

3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161

San Diego County (858) 552-8585

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 Moira Haller's NPI number?

The NPI number for Moira Haller is 1790143477. It was assigned to this individual provider in the NPPES registry on February 9, 2016.

Where is Moira Haller located?

Moira Haller practices at 3350 La Jolla Village Dr 116B, San Diego, CA 92161. The listed phone number is (858) 552-8585.

What is Moira Haller's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Moira Haller enrolled in Medicare?

No. Moira Haller has opted out of Medicare through April 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Moira Haller was last updated on February 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.