Organization Active NPI

Moonstone Psychological Services PC

  • Clinical Psychologist
  • Fresno, CA
National Provider Identifier
1134048994
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MOONSTONE PSYCHOLOGICAL SERVICES PC
Practice address
1625 E Shaw Ave Ste 139
Fresno, CA 93710-8100
Phone
(559) 478-6971
Fax
(559) 774-1230
NPI assigned
Jul 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Kwong, PSYDNPI 1427917897
Title
Co-Founder/Ceo
Phone
(559) 478-6971

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1625 E Shaw Ave Ste 139
Fresno, CA 93710-8100

Mailing address

1625 E Shaw Ave Ste 139
Fresno, CA 93710-8100
Phone (559) 478-6971

National Provider Directory

National Provider Directory

Locations

1625 E Shaw Ave
Ste 139
Fresno, CA 93710

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1134048994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 E SHAW AVE STE 139",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108100",
            "telephone_number": "559-478-6971",
            "fax_number": "559-774-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 E SHAW AVE STE 139",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108100",
            "telephone_number": "559-478-6971",
            "fax_number": "559-774-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONSTONE PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "KWONG",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CO-FOUNDER/CEO",
        "authorized_official_telephone_number": "559-478-6971",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.