Active NPI
Rebecca S Modglin
- School Psychologist
- Moorpark, CA
National Provider Identifier
1063399293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 5297 Maureen LN
Moorpark, CA 93021-7125 - Phone
- (805) 378-6306
- NPI assigned
- Aug 19, 2025
- Last updated
- Aug 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | NU | Primary |
Addresses
Primary practice location
5297 Maureen LN
Moorpark, CA 93021-7125
Mailing address
5297 Maureen LN
Moorpark, CA 93021-7125
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1063399293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5297 MAUREEN LN",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930217125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5297 MAUREEN LN",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930217125",
"telephone_number": "805-378-6306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODGLIN",
"first_name": "REBECCA",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-19",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moorpark, CA
- Alexis Raquel Miller, RN
- Alison Miller
- Lauren N. Mills, PSYD
- Luca C Minoli, CMT, ANMT
- Willow Catherine Mize
- Esther Moon, OTR
- Moorpark Comprehensive Medical Care a Professional Corporation (Moorpark Comprehensive Medical Group, Inc.)
- Moorpark Comprehensive Urgent Care, Inc.
- Moorpark Family Medicine Inc
- Moorpark Optometric Eyecare, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.