Active NPI
Lauren Moine, PSY.D.
- Psychologist
- Torrance, CA
National Provider Identifier
1669605226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY25999
- Practice address
- 25550 Hawthorne Blvd Ste 316
Torrance, CA 90505-6832 - Phone
- (424) 254-8680
- NPI assigned
- Aug 31, 2009
- Last updated
- Apr 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY25999 | CA | Primary |
Addresses
Primary practice location
25550 Hawthorne Blvd Ste 316
Torrance, CA 90505-6832
Mailing address
25550 Hawthorne Blvd Ste 316
Torrance, CA 90505-6832
Phone (424) 254-8680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 18, 2024 through Dec 18, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY25999 | CA | MD | Psychologist |
| 25999 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461024000000",
"number": "1669605226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25550 HAWTHORNE BLVD STE 316",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905056832",
"telephone_number": "424-254-8680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25550 HAWTHORNE BLVD STE 316",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905056832",
"telephone_number": "424-254-8680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOINE",
"first_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-31",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY25999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.