Individual provider Active NPI

Julie Reeker Moghal, PH.D.

  • Clinical Psychologist
  • Orange, CA
National Provider Identifier
1346319993
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY16150 Issued in CA
Practice address
1120 W la Veta Ave Ste 660
Orange, CA 92868-4244
Phone
(714) 509-8481
Fax
(714) 509-8756
NPI assigned
Nov 7, 2006
Last updated
Jul 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY16150 CA Primary

Addresses

Primary practice location

1120 W la Veta Ave Ste 660
Orange, CA 92868-4244

Mailing address

1201 W la Veta Ave
Orange, CA 92868-4203
Phone (714) 509-8481

Other practice location 1

1120 W La Veta Ave Ste 400&470
Orange, CA 92868-4231
Phone (714) 509-8481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040326001394 CA Practitioner - Clinical Psychologist 2264324979 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY16150CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital of Orange County CurrentSince Jul 16, 2023 Accepting new patients

Locations

1120 W La Veta Ave
Ste 660
Orange, CA 92868
Phone (714) 509-7428

1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1346319993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W LA VETA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684203",
            "telephone_number": "714-509-8481",
            "fax_number": "714-509-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W LA VETA AVE STE 660",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684244",
            "telephone_number": "714-509-8481",
            "fax_number": "714-509-8756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 W La Veta Ave Ste 400&470",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928684231",
            "country_code": "US",
            "telephone_number": "714-509-8481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOGHAL",
        "first_name": "JULIE",
        "middle_name": "REEKER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2023-07-13",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.