Active NPI
Stephanie Moy
- Clinical Neuropsychologist
- Manhattan Beach, CA
National Provider Identifier
1821917253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Practice address
- 3409 Palm Ave
Manhattan Beach, CA 90266-3527 - Phone
- (310) 293-1003
- NPI assigned
- Jul 10, 2026
- 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | Primary |
Addresses
Primary practice location
3409 Palm Ave
Manhattan Beach, CA 90266-3527
Mailing address
3409 Palm Ave
Manhattan Beach, CA 90266-3527
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1821917253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3409 PALM AVE",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902663527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3409 PALM AVE",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902663527",
"telephone_number": "310-293-1003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOY",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-10",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhattan Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.