DR. JOSINA GRASSI MOAK PSY.D.
NPI 1871934646
Psychologist - Clinical in Roseville, CA

Q: What is Josina Moak's NPI number?

The NPI number for Josina Moak is 1871934646. It was assigned to this individual provider in the NPPES registry on July 9, 2013.

Q: What is Josina Moak's specialty?

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

Q: Is Josina Moak enrolled in Medicare?

No. Josina Moak has opted out of Medicare through April 1, 2027. 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.

Q: When was this NPI record last updated?

The NPPES record for Josina Moak was last updated on July 9, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 09, 2013Opted out of Medicare · through Apr 1, 2027

2412 PROFESSIONAL DR, ROSEVILLE, CA 95661(916) 580-5130 Get Directions Write a Review

NPPES record last updated: July 9, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Josina Grassi Moak Psy.d. NPPES

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

DR. JOSINA GRASSI MOAK PSY.D. (NPI 1871934646) is an individual clinical provider in Roseville, California, licensed in California (PSY25287) and active in the NPI registry since July 2013. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1871934646

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JOSINA GRASSI MOAKCredential: PSY.D.

Location Address2412 PROFESSIONAL DRRoseville, CA 95661-7773

Mailing AddressPo Box 340123Sacramento, CA 95834-0123 · (916) 580-5130

Phone(916) 580-5130

Sole ProprietorYes

Enumeration DateJuly 9, 2013

✔ NPI 1871934646 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 · PSY25287

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.

2412 PROFESSIONAL DR, Roseville, CA 95661

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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. Josina Grassi Moak Psy.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 1, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017

Opt-Out In Effect ThroughApril 1, 2027Opt-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95661 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$180.85 typical visit price

range $60.44 – $180.85

Typical copayment $45.21 (range $15.11 – $45.21)

Most-billed visit code 99205

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 14

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

MISS MICHELLE MARIE COX

Psychologist