Active NPI
Erica Moses, PHD, ABPP
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1366792236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 25160
- Practice address
- 1761 Hotel Cir S
Suite 315
San Diego, CA 92108-3318 - Phone
- (858) 769-9179
- NPI assigned
- Sep 18, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 25160 | CA | Primary |
Addresses
Primary practice location
1761 Hotel Cir S
Suite 315
San Diego, CA 92108-3318
Mailing address
1761 Hotel Cir S
Suite 315
San Diego, CA 92108-3318
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 |
|---|---|---|---|
| 25160 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443052800000",
"number": "1366792236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1761 HOTEL CIR S",
"address_2": "SUITE 315",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1761 HOTEL CIR S",
"address_2": "SUITE 315",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083318",
"telephone_number": "858-769-9179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSES",
"first_name": "ERICA",
"name_prefix": "Dr.",
"credential": "PHD, ABPP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-18",
"last_updated": "2015-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "25160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.