Active NPI
Pamela Anne Meehan Moulton
- School Psychologist
- Windsor, CA
National Provider Identifier
1285119107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 9748 Lakewood Dr
Windsor, CA 95492-8606 - Phone
- (707) 328-0026
- NPI assigned
- Sep 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
9748 Lakewood Dr
Windsor, CA 95492-8606
Mailing address
9748 Lakewood Dr
Windsor, CA 95492-8606
Phone (707) 328-0026
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": "1537920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537920000000",
"number": "1285119107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9748 LAKEWOOD DR",
"city": "WINDSOR",
"state": "CA",
"postal_code": "954928606",
"telephone_number": "707-328-0026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9748 LAKEWOOD DR",
"city": "WINDSOR",
"state": "CA",
"postal_code": "954928606",
"telephone_number": "707-328-0026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEHAN MOULTON",
"first_name": "PAMELA",
"middle_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-26",
"last_updated": "2018-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor, CA
- Laura A Marcus, FNP
- Mark J. Hagele, DDS, Inc.
- Linda Karen Marshall, P.T.
- James McAleer, RN
- Mealani Smith Licensed Clinical Social Worker PC (Embodied self therapy)
- Carolyn Miles, OTR/L
- Martin Miller, MAC, LAC, DIP OM
- Kylie Patricia Mitchell, RPH.
- Kurt David Mitchler, D.D.S.
- Rachelle Renee Moberg, D.P.T
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.