Jeongmi Moon
NPI 1336566785 · Clinical Psychologist · San Diego, CA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeongmi Moon is a Clinical Psychologist provider in San Diego, CA (NPI 1336566785).
Provider details
- NPI number
- 1336566785
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- PSY33750 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 5348 University AveSuite 101San Diego, CA 92105-8025Phone: (619) 229-2999
Registry dates
- Enumerated
- 2014-03-24
- Last updated
- 2022-11-30
- Certified
- 2022-11-30
Frequently asked questions
- What is Jeongmi Moon's NPI number?
- Jeongmi Moon's National Provider Identifier (NPI) is 1336566785, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeongmi Moon's specialty?
- Jeongmi Moon is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jeongmi Moon located?
- Jeongmi Moon's practice location on file with NPPES is 5050 Lotus St Apt 28, San Diego, CA 92107-1373.
- What is Jeongmi Moon's phone number?
- The practice phone number listed in the NPPES registry for Jeongmi Moon is (619) 736-0333.
- Does Jeongmi Moon accept Medicare?
- Jeongmi Moon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeongmi Moon's NPI active?
- Yes — Jeongmi Moon's NPI (1336566785) is active in the NPPES registry as of the last update on 2022-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.