Active NPI
Paul Arthur Moench, PSY.D.
- Clinical Psychologist
- Berkeley, CA
National Provider Identifier
1033430889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 18012
- Practice address
- 1827 Carleton St
Berkeley, CA 94703-1907 - Phone
- (510) 529-5384
- NPI assigned
- Jun 16, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 669 | HI | |
| Psychologist | 103T00000X | 90 03316 | ZZ | |
| Psychologist | 103T00000X | PSY 18012 | CA | |
| Clinical Psychologist | 103TC0700X | 18012 | CA | Primary |
Addresses
Primary practice location
1827 Carleton St
Berkeley, CA 94703-1907
Mailing address
1827 Carleton St
Berkeley, CA 94703-1907
Phone (510) 529-5384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 18012 | CA | MD | Psychologist |
| PSY 669 | HI | MD | Psychologist |
| 90 03316 | ZZ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1033430889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1827 CARLETON ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947031907",
"telephone_number": "510-529-5384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1827 CARLETON ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947031907",
"telephone_number": "510-529-5384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOENCH",
"first_name": "PAUL",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-16",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "HI",
"license": "PSY 669",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ZZ",
"license": "90 03316",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 18012",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "18012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.