Individual provider Active NPI

Sarah J. Barnard-Moreland, PSYD

  • Psychologist
  • San Luis Obispo, CA
National Provider Identifier
1790377851
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2012971 Issued in CA
Practice address
676 Pismo St
San Luis Obispo, CA 93401-3945
Phone
(805) 543-7969
NPI assigned
Feb 9, 2021
Last updated
Feb 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2012971 CA Primary

Addresses

Primary practice location

676 Pismo St
San Luis Obispo, CA 93401-3945

Mailing address

PO Box 442
Arroyo Grande, CA 93421-0442
Phone (661) 205-8449

Other identifiers 1

IdentifierTypeStateIssuer
B3049307MedicaidCA

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

State licenses

LicenseStateTypeSpecialty
2012971CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1790377851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 442",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934210442",
            "telephone_number": "661-205-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 PISMO ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013945",
            "telephone_number": "805-543-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNARD-MORELAND",
        "first_name": "SARAH",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "2012971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B3049307",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.