Individual provider Active NPI

Alison Maria Magoun Moreno, PH.D.

  • Clinical Psychologist
  • Westlake Village, CA
National Provider Identifier
1639438047
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY24406 Issued in CA
Practice address
2660 Townsgate Rd Ste 450
Westlake Village, CA 91361-5714
Phone
(805) 300-6719
Fax
(805) 832-6288
NPI assigned
May 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY24406 CA Primary
Psychologist 103T00000X PSY24406 CA

Addresses

Primary practice location

2660 Townsgate Rd Ste 450
Westlake Village, CA 91361-5714

Mailing address

2660 Townsgate Rd Ste 450
Westlake Village, CA 91361-5714
Phone (805) 300-6719

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
I20210726000649 CA Practitioner - Clinical Psychologist 5991108136 Practice locations: Westlake Village, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

30961 Agoura Rd
Suite 217
Westlake Village, CA 91361-5619
Phone (805) 300-6719

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY24406CAMDClinical Psychologist
24403CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1639438047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 TOWNSGATE RD STE 450",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615714",
            "telephone_number": "805-300-6719",
            "fax_number": "805-832-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 TOWNSGATE RD STE 450",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615714",
            "telephone_number": "805-300-6719",
            "fax_number": "805-832-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGOUN MORENO",
        "first_name": "ALISON",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-07",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24406",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY24406",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.