Matthew Zeno Moon

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

6838 W Sunset Blvd
Hollywood, CA 90028

Phone

(323) 461-3161

NPI assigned

Jun 13, 2017

Last updated

Jun 22, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 23, 2026 through Mar 23, 2028

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1326578378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6838 W SUNSET BLVD",
            "city": "HOLLYWOOD",
            "state": "CA",
            "postal_code": "900287008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6838 W SUNSET BLVD",
            "city": "HOLLYWOOD",
            "state": "CA",
            "postal_code": "90028",
            "telephone_number": "323-461-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "MATTHEW",
        "middle_name": "ZENO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie W Meyerson, LCSW
• Michael R Mollura PH.D. Psychologist Inc., a Professional Corporation
• Mind and Body Healing
• Mission City Community Network, Inc.
• Michael Robert Mollura, PHD
• Mithra Moon, PA
• Patrick L Mullens, MD
• Sarah Catherine Neal, MFTI
• Lori Netzen, CMF
• Alexis Nixon, PA

• Marriage & Family Therapist in Hollywood, CA
• Providers in Hollywood, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.