SUN MOON PSY.D.
NPI 1982142675
Psychologist - Clinical Child & Adolescent in Philadelphia, PA

Active since February 02, 2017
3300 HENRY AVE, THREE FALL CENTER, SUITE 302, PHILADELPHIA, PA 19129(215) 924-0684(215) 924-3805 Get Directions Write a Review

NPPES record last updated: February 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sun Moon Psy.d. NPPES

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

SUN MOON PSY.D. (NPI 1982142675) is an individual clinical child & adolescent provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS015809) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1982142675
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameSUN MOONCredential: PSY.D.
Location Address3300 HENRY AVE, THREE FALL CENTER, SUITE 302Philadelphia, PA 19129-1121
Mailing Address3300 Henry Ave, Three Fall Center, Suite 302Philadelphia, PA 19129-1121 · (215) 924-0684 · Fax (215) 924-3805
Fax(215) 924-3805
Sole ProprietorNo
Enumeration DateFebruary 2, 2017
NPI 1982142675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License Licensed in PA · PS015809
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License PS015809 (PA)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PS015809 (PA)
Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License PS015809 (PA)
3300 HENRY AVE, Philadelphia, PA 19129

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.

Social Worker (Clinical)
3300 HENRY AVE
PHILADELPHIA, PA 19129
Nurse Practitioner (Psychiatric/Mental Health)
3300 HENRY AVE, THREE FALLS SUITE 220
PHILADELPHIA, PA 19129
Nurse Practitioner (Psychiatric/Mental Health)
3300 HENRY AVE, OKAMI COLLECTIVE SUITE 364
PHILADELPHIA, PA 19129
Psychologist (Health)
3300 HENRY AVE, STE 500
PHILADELPHIA, PA 19129
Psychologist (Clinical)
3300 HENRY AVE
PHILADELPHIA, PA 19129
Social Worker (Clinical)
3300 HENRY AVE
PHILADELPHIA, PA 19129
Counselor (Mental Health)
3300 HENRY AVE, STE 206
PHILADELPHIA, PA 19129
Pharmacy (Institutional Pharmacy)
3300 HENRY AVE
PHILADELPHIA, PA 19129

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 Sun Moon's NPI number?

The NPI number for Sun Moon is 1982142675. It was assigned to this individual provider in the NPPES registry on February 2, 2017.

Where is Sun Moon located?

Sun Moon practices at 3300 Henry Ave Three Fall Center, Suite 302, Philadelphia, PA 19129. The listed phone number is (215) 924-0684.

What is Sun Moon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Sun Moon was last updated on February 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.