Individual provider Active NPI

Marissa Moreno-McCullough, LMFT

  • Psychoanalysis Psychologist
  • Woodland Hills, CA
National Provider Identifier
1902727308
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychoanalysis PsychologistTaxonomy code 103TP0814X
License
160362 Issued in CA
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

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

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

Verify at the official NPI Registry.