MICHELLE JOCELINE MOORE PHD
NPI 1790416824
Psychologist in San Clemente, CA

Active since June 20, 2022Accepts Medicare Assignment
647 CAMINO DE LOS MARES STE 223A, SAN CLEMENTE, CA 92673(949) 933-1570 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michelle Joceline Moore Phd NPPES

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

MICHELLE JOCELINE MOORE PHD (NPI 1790416824) is an individual psychologist in San Clemente, California, licensed in California (PSY19780) and active in the NPI registry since June 2022. She is a graduate of Other (1999).

NPPES Registry Identity

NPI1790416824
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMICHELLE JOCELINE MOORECredential: PHD
Location Address647 CAMINO DE LOS MARES STE 223ASan Clemente, CA 92673-2807
Mailing Address647 Camino De Los Mares Ste 223aSan Clemente, CA 92673-2807 · (949) 933-1570
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateJune 20, 2022
NPPES CertifiedJune 20, 2022
✔ NPI 1790416824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in CA · PSY19780
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.
647 CAMINO DE LOS MARES STE 223A, San Clemente, CA 92673

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Joceline Moore Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931680279
PECOS Enrollment IDI20260228000754

Medicare Billing Reassignment

Medicare enrollment records show Michelle Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
2413 APPIAN RD
Carlsbad, CA 92010
  • Reassigned Medicare billing, California enrollment

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 Michelle Moore's NPI number?

The NPI number for Michelle Moore is 1790416824. It was assigned to this individual provider in the NPPES registry on June 20, 2022.

Where is Michelle Moore located?

Michelle Moore practices at 647 Camino De Los Mares Ste 223A, San Clemente, CA 92673. The listed phone number is (949) 933-1570.

What is Michelle Moore's specialty?

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

Is Michelle Moore enrolled in Medicare?

Yes. Michelle Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michelle Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Moore reassigns Medicare benefits to Michelle Moore Phd Inc. A Professional Psychological Corpora (Carlsbad, CA). The 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 Michelle Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle Moore was last updated on June 20, 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.