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MARISSA MORENO-MCCULLOUGH LMFT
NPI 1902727308
Psychologist - Psychoanalysis in Woodland Hills, CA

Active since July 22, 2026PECOS Enrolled
5855 TOPANGA CANYON BLVD STE 150, WOODLAND HILLS, CA 91367(310) 293-8085 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marissa Moreno-mccullough Lmft NPPES

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

MARISSA MORENO-MCCULLOUGH LMFT (NPI 1902727308) is an individual psychoanalysis provider in Woodland Hills, California, licensed in California (160362) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1902727308
Entity TypeIndividualFemale
Primary Taxonomy103TP0814X
Provider Legal NameMARISSA MORENO-MCCULLOUGHCredential: LMFT
Location Address5855 TOPANGA CANYON BLVD STE 150Woodland Hills, CA 91367-4685
Mailing Address440 N Barranca Ave # 2466Covina, CA 91723-1722 · (310) 293-8085
Phone(310) 293-8085
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 22, 2026
NPPES CertifiedJuly 22, 2026
✔ NPI 1902727308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · PsychoanalysisBehavioral Health & Social Service Providers
Taxonomy Code103TP0814X
License✔ Licensed in CA · 160362
Definition
A psychologist whose specialty is distinguished from other specialties by its body of knowledge and its intensive treatment approaches. It aims at structural changes and modifications of a person's personality. Psychoanalysis promotes awareness of unconscious, maladaptive and habitually recurrent patterns of emotion and behavior, allowing previously unconscious aspects of the self to become integrated and promoting optimal functioning, healing and creative expression.
5855 TOPANGA CANYON BLVD STE 150, Woodland Hills, CA 91367
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marissa Moreno-mccullough Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173083524
PECOS Enrollment IDI20260903004671
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Marissa Moreno-mccullough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
285 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

WENDY BETH ROEHR AMFT
Marriage & Family Therapist
5855 TOPANGA CANYON BLVD STE 150
WOODLAND HILLS, CA 91367
Los Angeles County (805) 906-3716

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 Marissa Moreno-mccullough's NPI number?

The NPI number for Marissa Moreno-mccullough is 1902727308. It was assigned to this individual provider in the NPPES registry on July 22, 2026.

Where is Marissa Moreno-mccullough located?

Marissa Moreno-mccullough practices at 5855 Topanga Canyon Blvd Ste 150, Woodland Hills, CA 91367. The listed phone number is (310) 293-8085.

What is Marissa Moreno-mccullough's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Psychoanalysis, with taxonomy code 103TP0814X.

Is Marissa Moreno-mccullough enrolled in Medicare?

Yes. Marissa Moreno-mccullough is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marissa Moreno-mccullough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Moreno-mccullough reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, 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 Marissa Moreno-mccullough'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 Marissa Moreno-mccullough was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.