Active NPI
Joanne Sharon Moran, PH.D., PSY.D.
- Clinical Psychologist
- Montecito, CA
National Provider Identifier
1306664115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY9859
- Practice address
- 550 Periwinkle LN
Montecito, CA 93108-2122 - Phone
- (626) 665-7824
- NPI assigned
- Sep 30, 2024
- Last updated
- Sep 30, 2024
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY9859 | CA | Primary |
Addresses
Primary practice location
550 Periwinkle LN
Montecito, CA 93108-2122
Mailing address
550 Periwinkle LN
Montecito, CA 93108-2122
Phone (626) 665-7824
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY9859 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1306664115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 PERIWINKLE LN",
"city": "MONTECITO",
"state": "CA",
"postal_code": "931082122",
"telephone_number": "626-665-7824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PERIWINKLE LN",
"city": "MONTECITO",
"state": "CA",
"postal_code": "931082122",
"telephone_number": "626-665-7824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "JOANNE",
"middle_name": "SHARON",
"credential": "PH.D., PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-30",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY9859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montecito, CA
- Babji P Mesipam, MD
- Montecito Concierge Medicine
- Montecito Retirement Association (Casa Dorinda)
- Montecito Specialty Care a Professional Nursing Corp
- Eugene A Morales, LMFT 99419
- Stephen Michael Nenninger, NMD
- Jason Bryan NG, PHARM.D.
- Northwinds Maui Wellness & Recovery Inc. (NorthWinds WellTox)
- Occhiali
- Sarah Oh
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.