IndividualActive
Jenna Moon
NPI 1336854736 · Clinical Psychologist · Petaluma, CA
Jenna Moon is a Clinical Psychologist provider in Petaluma, CA (NPI 1336854736).
Provider details
- NPI number
- 1336854736
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 36772 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
1500 Petaluma Blvd S
Petaluma, CA 94952-5545
Phone: (707) 765-8488
Street-level locationGet directions
Mailing address
200 S Main St Ste 130-528
Sebastopol, CA 95472-4284
Additional practice locations (1)
- 435 Petaluma Ave Ste 142Sebastopol, CA 95472-4273Phone: (707) 695-5784
Registry dates
- Enumerated
- 2023-01-19
- Last updated
- 2026-06-06
- Certified
- 2026-06-06
Frequently asked questions
- What is Jenna Moon's NPI number?
- Jenna Moon's National Provider Identifier (NPI) is 1336854736, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jenna Moon's specialty?
- Jenna Moon is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jenna Moon located?
- Jenna Moon's practice location on file with NPPES is 1500 Petaluma Blvd S, Petaluma, CA 94952-5545.
- What is Jenna Moon's phone number?
- The practice phone number listed in the NPPES registry for Jenna Moon is (707) 765-8488.
- Is Jenna Moon's NPI active?
- Yes — Jenna Moon's NPI (1336854736) is active in the NPPES registry as of the last update on 2026-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.