Breanna Moskovitz

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

51543 Issued in CA

Practice address

655 Camino de Los Mares
Suite 120
San Clemente, CA 92673-2809

Phone

(949) 487-1015

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1649302779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 AMIGOS WAY",
            "address_2": "H",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926604570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 CAMINO DE LOS MARES",
            "address_2": "SUITE 120",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732809",
            "telephone_number": "949-487-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSKOVITZ",
        "first_name": "BREANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "51543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice P Moran, DMD
• Efraim John Moreno I, DMD
• Chrissie Morgan, P.T.
• Bijan Bagher Moridani, M.D.
• Charlene P Morrow, MFT
• Amy Moss, MA, OTR/L
• Edward Richard Moss
• Neda Mousavi
• Daniela Moya Botero
• Mr. Therapist, Individual & Family Therapy Inc.

• Mental Health Counselor in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.