Jeanne Lynn Moore, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY17812 Issued in CA

Practice address

30131 Town Center Dr Suite 235
Laguna Niguel, CA 92677-2033

Phone

(949) 433-9546

Fax

(949) 215-8408

NPI assigned

Oct 10, 2006

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

Other identifiers 1

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

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)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Laguna Niguel Speech and Language Center

  • Speech-Language Pathologist
  • Laguna Niguel, CA
  • NPI 1548784879
  NPD

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1689762346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR SUITE 235",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772033",
            "telephone_number": "949-433-9546",
            "fax_number": "949-215-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR SUITE 235",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772033",
            "telephone_number": "949-433-9546",
            "fax_number": "949-215-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JEANNE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY17812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FW675A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pegah Mohtashemi
• Pamela Moldauer, LCSW
• Michael Vance Molyneaux, M.D.
• Maria Carolina Montenegro Silva Da Rocha
• Cheryl Ashlin Moore, DPT
• Richard Randolph Moraitis, CADC II, BCPC, CIP
• Michael Douglas Moran, M.D.
• Xiomara Moran
• Kellie Marie Morris, DO
• Parisa Mortaji, MD

• Psychologist in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.