Active NPI
Marissa Moreno-McCullough, LMFT
- Psychoanalysis Psychologist
- Woodland Hills, CA
National Provider Identifier
1902727308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalysis Psychologist
- License
- 160362
- Practice address
- 5855 Topanga Canyon Blvd Ste 150
Woodland Hills, CA 91367-4685 - Phone
- (310) 293-8085
- NPI assigned
- Jul 22, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | 160362 | CA | Primary |
Addresses
Primary practice location
5855 Topanga Canyon Blvd Ste 150
Woodland Hills, CA 91367-4685
Mailing address
440 N Barranca Ave # 2466
Covina, CA 91723-1722
Phone (310) 293-8085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
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": "1784678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1902727308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 N BARRANCA AVE # 2466",
"city": "COVINA",
"state": "CA",
"postal_code": "917231722",
"telephone_number": "310-293-8085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5855 TOPANGA CANYON BLVD STE 150",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913674685",
"telephone_number": "310-293-8085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO-MCCULLOUGH",
"first_name": "MARISSA",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-22",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "CA",
"license": "160362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.