Individual provider Active NPI

Jennifer Moya, ED.S.

  • School Psychologist
  • Palm Springs, CA
National Provider Identifier
1902661481
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
220130766 Issued in CA
Practice address
150 District Center Dr
Palm Springs, CA 92264-3626
Phone
(760) 333-8479
Fax
(760) 325-8730
NPI assigned
Feb 14, 2024
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 220130766 CA Primary

Addresses

Primary practice location

150 District Center Dr
Palm Springs, CA 92264-3626

Mailing address

150 District Center Dr
Palm Springs, CA 92264-3626
Phone (760) 333-8479

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
220130766CAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Springs Unified School District PastSince Feb 18, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1902661481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DISTRICT CENTER DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922643626",
            "telephone_number": "760-333-8479",
            "fax_number": "760-325-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DISTRICT CENTER DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922643626",
            "telephone_number": "760-333-8479",
            "fax_number": "760-325-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYA",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "ED.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "220130766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.